[Treatment of patients with chronic adenoiditis and abnormal coagulation].
Chronic adenoiditis (CA) prevails among ENT diseases in children. It often demands surgical intervention. Frequent hemorrhagic complications during adenotomy necessitate assessment of the patient's hemostasis. A preoperative examination of 43 children has detected primarily dysaggregation thrombocytopathies. Streptococcus pneumoniae is a dominating etiological agent. Chronic focal infection is involved in pathogenesis of systemic disorders in CA including those provoking coagulatory disturbances. An algorithm of hemostatic disorders diagnosis in CA children is proposed as well as an effective program of targeted pre- and intraoperative hemostatic therapy.
Bergen
O I
OI
Sukhneva
T P
TP
Sturov
V G
VG
D000233:Adenoidectomy / Q000379:methods*; D000234:Adenoids; D000293:Adolescent; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D005260:Female; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D013921:Thrombocytopenia / Q000150:complications* / Q000188:drug therapy; D014069:Tonsillitis / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome
D006490:Hemostatics