Tonsillektomi en sik uygulanan pediatrik cerrahi islemlerden biridir. Cerrahi tekniklerindeki gelismelere ragmen tonsillektomi sonrasi hemoraji insidansi %0.1 ile %9.3 olarak bildirilmistir. 7 yasinda kiz çocugu acil poliklinige agiz ve burundan yogun kanama nedeni ile basvurdu. Kanama yaklasik 15-20 dakika önce baslamisti. Hasta ünitemize basvurdugunda solunumu oldukça yüzeyel, nabzi bradikardikti. Agiz ve burun hizlica aspire edilerek oksijen verilmeye baslandi. Damar yolu açildi, intravenöz defisit tedavisi verildi. Acil sartlarda kanama diatezi ve gastrointestinal kanama ekarte edilemedigi için 10 mgr K vit IV ve 1 mg/kg ranitidin IM yapildi. Alinan öyküsünde 1 hafta önce tonsillektomi yapildigi ögrenildi. Izleminde gastrointestinal ve kanama diatezi ekarte edilen hastaya KBB danisimi yapildi. Izleminde Htc degerleri düsen hastaya 1 Ü eritrosit transfüzyonu yapildi. Bir gün acil servisde izlenen hasta saglikli olarak taburcu edildi.Tonsillektomi sonrasi kanama özellikle küçük çocuklarda hayati tehdit edici olabilecegi için bu olguyu sunmak istedik.
Tonsillektomi Sonrasi Massif Hemoraji Gelisen Bir Olgu - Poster 49
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Tonsillektomi Sonrasi Massif Hemoraji Gelisen Bir Olgu - Poster 49
J Curr Pediatr 2006;4(1)
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- 1Ankara Üniversitesi Tip Fakültesi Çocuk Sagligi Ve Hastaliklari Anabilim Dali, Ankara
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