[Post-tonsillectomy haemorrhage treatment with activated factor VII].
Tonsillectomy is a common procedure in otorhinolaryngology and postoperative haemorrhage is a well-known complication. In this case, a 34 year-old male with obstructive sleep apnoea and no coagulation defects was operated; 30 minutes after the operation he presented with primary post operative haemorrhage and surgical haemostasis was not possible. After one hour of secondary surgery tranexamacid 1 g and phytomenadione 10 mg was given, but the diffuse bleeding continued until recombinant factor VIIa 96 mg/kg was administered.
Jørkov
Andreas Schjellerup
AS
Hammelstrupvej 4A, 1. tv, DK-2450 København SV. joerkov@dadlnet.dk.
D000368:Aged; D003029:Coagulants / Q000627:therapeutic use*; D015944:Factor VIIIa / Q000627:therapeutic use*; D006470:Hemorrhage / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D008297:Male; D020181:Sleep Apnea, Obstructive; D014068:Tonsillectomy / Q000009:adverse effects*; D016896:Treatment Outcome
D003029:Coagulants; D015944:Factor VIIIa