کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6213690 1606019 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Post-tonsillectomy hemorrhage in children with hematological abnormalities
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Post-tonsillectomy hemorrhage in children with hematological abnormalities
چکیده انگلیسی

ObjectiveTonsillectomy is a common procedure performed in children with the main complication being post-operative hemorrhage. It is uncertain if patients with hematological abnormalities face a higher risk of post-operative hemorrhage.Study designRetrospective chart review.SettingTertiary referral hospital.Patients selectedAll patients with a known hematologic disorder as well as children without a hematologic abnormality undergoing tonsillectomy with or without adenoidectomy in the past two years at our institution were included in this study.Main outcome measureWe sought to determine whether children with hematologic disorders are at an increased risk of post-operative hemorrhage after surgery.ResultsFour-hundred and sixty-two patients were identified who underwent a tonsillectomy during this time period. Fourteen patients with hematological abnormalities were identified with only one patient suffering a post-tonsillectomy hemorrhage. All patients with abnormal laboratory values prior surgery underwent medical treatment in conjunction with pediatric hematology and did not suffer a post-tonsillectomy hemorrhage. Despite a small study group, the low incidence (1/14) of post-tonsillectomy hemorrhage in patients with hematological abnormalities suggests that these patients may not be at an increased risk, especially if appropriately evaluated and treated pre-operatively.ConclusionDespite small sample size the results of our study suggest that patients with coagulation disorders may not have an increased risk of post-tonsillectomy hemorrhage when evaluated and corrected pre-operatively.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 77, Issue 6, June 2013, Pages 959-963
نویسندگان
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