Treatment of patients with chronic adenoiditis and abnormal coagulation
Bergen, O.I.; Sukhneva, T.P.; Sturov, V.G.
Vestnik Otorinolaringologii 2005(6): 30-34
2005
ISSN/ISBN: 0042-4668 PMID: 16353006 Document Number: 584801
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.