扁桃体切除术麻醉的技术方法

Febrian Dwi Cahyo, B. Sutanto, Iin Novita Nurhidayati Mahmuda
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摘要

背景:扁桃体切除术是耳鼻喉科医生对儿童进行的最常见的外科手术。这种手术会导致受伤喉咙疼痛、出血和肿胀。患者可主诉疼痛、吞咽困难、进食、饮水障碍、恶心、呕吐和脱水。这会降低病人的满意度。讨论:扁桃体切除术后的疼痛管理是耳鼻喉科医生和麻醉师都关心的问题。扁桃体切除术后疼痛或焦虑的高发生率增加了扁桃体切除术后继发出血的风险。了解术后疼痛的发生机制和疼痛的负面影响是很有必要的。结论:医生应注意减轻术后疼痛,选择合理的镇痛药以克服扁桃体切除术后疼痛。
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A Technical Approach to Anesthesia in the Case of Tonsillectomy

Background: Tonsillectomy is the most common surgical procedure performed by an ENT doctor (Throat Nose Ear) in children. This surgery can cause pain, bleeding and swelling in the injured throat. Patient may complain of pain, difficulty swallowing, eating, drinking disorders, nausea and vomiting and fall into a dehydrated state. This can reduce patient satisfaction.

Discussion: Postoperative pain management of tonsillectomy is  a concern both by the ENT doctor and by the anesthesiologist. The high incidence of post-tonsillectomy pain or anxiety increases the risk of secondary post-tonsillectomy bleeding. It is necessary to know the mechanism of post operative pain and the negative impact of pain.

Conclusion: Doctors should give attention to reduce postoperative pain and choose a rational analgesic to overcome post operative tonsillectomy pain.

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