Ocena zaburzeń krzepnięcia u dzieci zakwalifikowanych do adeno/tonsilektomii
Journal Title: Otolaryngologia Polska - Year 2007, Vol 61, Issue 2
Abstract
Introduction. The routine pre-operative evaluation of children undergoing elective tonsillectomy and/or adenoidectomy includes coagulation screening tests. The purpose of the study: detection of coagulation defects in children with planned tonsillectomy and/or adenoidectomy. Material and methods. In our study we examined 68 children with abnormal coagulation profile, age 1–17 (average 7,5), 43 male and 25 female. All children underwent coagulation tests (APTT, PT, INR, D-dimer, fibrynogen). In case of twice indicated coagulopathy we diagnosed the levels of the coagulation protein factors.Results. After second verification 15/68 (22%) patients presented prolonged APTT and/or PT. The most common disorder was isolated prolongation of APTT – 47/53(89%), 3/53 (5,5%) had prolonged PT and 3/53 (5,5%) had both disorders in the same time. After vitamin K admission in 19/53 (36%) coagulation tests returned to normal. 13/53 (24%) patients had the factor XII deficiency, 1 patient had a low activity of von Willebrand factor and temporary deficient of factor VIII. In one case we found temporary deficiency of factors VIII and IX and one boy had isolated, temporary deficiency of factor IX. Rest of patients 21/53 (40%), in which the activity of coagulation factors were normal, underwent surgery despite prolonged APTT without any bleeding during or after surgery. Conclusions. The coagulation disorders in analized group of children were unstable or inessential, but in a group of 3/68 (4%) nondiagnosed disorders of coagulation tests, may due to heavy bleeding during or after surgery.
Authors and Affiliations
Marta Poznańska, Anna Kitszel, Maryna Krawczuk-Rybak
Keywords
Related Articles
- EP ID EP51377
- DOI -
- Views 104
- Downloads 0
The surgical treatment results of otosclerosis at the Department of Otolaryngology Silesian Medical University in Zabrze in years 2000–2010
Background: Otosclerosis is a cause of 5–9% of all hearing loss. The most effective treatment of otoslerosis is stapedotomy. Aim: The aim of this study was to evaluate the results of otosclerosis surgical treatment and t...
Znaczenie badań elektrofizjologicznych w diagnostyce guzów nerwu VIII
SUMMARY The most important for the diagnosis of vestibular schwannoma is MRI tech-nic, which allows assessing its size and shape. The gold diagnostic standard includes also PTA, SD and ABR, nystagmography with calorics a...
Erratum to: 'Endoscopic treatment of giant skull base osteomas' [Otolaryngol Pol 2011; 65 (6): 410–413]
Jakość głosu u pacjentów po zastosowaniu metody iniekcji kwasu hialuronowego do fałdów głosowych — doniesienie wstępne
Analysis of mutations within the TP53 gene in patients with squamous celt carcinoma of the head and neck
SUMMARY Head and neck cancer is the six most common type of cancer. Tobacco and alcohol consumption are implicated in 75% of all SCCHN and have a multiplica-tive combined effect. It is considered to be the main risk fact...