血红蛋白含量的变化对腺样体及/或扁桃体切除术失血情况的评价

Evaluation of blood lossing by checking change of content of haemoglobin after conducting tonsillectomy and/or adenotomy

关键词:  腺样体切除  扁桃体切除  血红蛋白  全身麻醉

Key words:  tonsillectomy  adenotomy  haemoglobin  general anesthesia

摘要:

［目的］通过观察儿童全身麻醉或表面麻醉下行腺样体及/或扁桃体切除术后血红蛋白含量的变化，评价患儿失血情况。［方法］35例扁桃体及/或腺样体肥大患儿分别全身麻醉或表面麻醉下行扁桃体及/或腺样体切除术，根据所施手术及麻醉情况分四组，记录手术前后血红蛋白（Hb）含量的变化值。［结果］所有全麻患者术后Hb含量均降低，其中腺样体切除组Hb的降低至0.1~1.8 g/L，扁桃体切除组为0.1~0.4 g/L，扁桃体及腺样体均切除者为0.3~1.8 g/L。表面麻醉下行扁桃体及腺样体切除者Hb的降低在0~0.3 g/L 。［结论］全身麻醉下行腺样体或扁桃体切除术，患儿痛苦小，病灶去除彻底，但需要注意患儿失血增多，必要时检测Hb含量的变化情况可提示医师如何治疗术后出血的患儿。

Abstract:

［Objective］To estimate the blood losing after conducting tonsillectomy and/or adenotomy in children.［Methods］Thirty-five cases suffering from hypertrophy of tonsil and/or adenoid vegetation were divided into 4 groups.They were conducted tonsillectomy or/and adenotomy under the condition of general anesthesia or local anesthesia respectively.The haemoglobin content was measured before and after operation.［Results］For those conducted general anesthesia, the decrease of haemoglobin contents in the group which was underwent tonsillectomy is range from 0.1 to 0.4 g/L,the group underwent adenotomy is 0.1~1.8 g/L,and in the group underwent both tonsillectomy and adenotomy is 0.3~1.8 g/L. The decrease of haemoglobin contents in the group underwent both tonsillectomy and adenotomy but under the condition of local anesthesia is 0~0.3 g/L.［Conclusions］General anesthesia is beneficial to both the children and the doctors when conducting tonsillectomy and/or adenotomy,but more attention should be paid to the children during and after operation becaude they are more likely to lose blood.