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儿童扁桃体部分切除术后危及生命的出血:院前环境下的结构化行动建议

[Life-threatening hemorrhage after tonsillotomy in a child : A structured recommendation for action in the prehospital setting].

临床研究咽喉科IF 1.7Q3

文献信息

中文摘要

一名7岁男孩在顺利接受耳鼻喉科手术一周后,口咽部突然发生大量出血。到达现场的急救人员发现一名表情淡漠、存在活动性出血的儿童,并迅速意识到需要立即采取行动。基于该病例报告、所采取的措施以及对儿童腭扁桃体和咽扁桃体相关手术的概述,本文提出了一套院前救治指南,以便在此类可能危及生命的情况下实现结构化处置。

英文摘要

One week after an uncomplicated ENT-surgery in a 7-year-old boy, a sudden and massive hemorrhage from the oropharyngeal area occurs. The arriving emergency medicals find an apathetic child with active bleeding and recognise quickly the need for immediate action. Based on this case report, the measures taken and an overview of surgical procedures involving the palatine and pharyngeal tonsils in children, a guideline for prehospital care is proposed to enable structured action in such a potentially life-threatening situation.