Excision of adenoid hypertrophy of adult post-operative care.docVIP

 PAGE \* MERGEFORMAT 7 Excision of adenoid hypertrophy of adult post-operative care [Keywords:] resection Hospital admitted 15 cases of adenoidal hypertrophy in patients with adult adenoidectomy surgery nursing experience reports are as follows. 1 Data and methods 1.1 General information from January 2004 to December 2006 in 15 patients, 10 cases were males and 5 females; aged 20 to 57 years, with an average (39.82 ± 18.59) years, duration from 6 months to 7 years. Initial symptoms: stuffy ear hearing loss, middle ear effusion treatment in 5 cases (33.33%), tears of blood in 3 cases (20%), nasal congestion runny nose in 3 cases (20%), headache in 3 cases (20%) and snoring (n = 1 6.66%). Nasal endoscopy: According to Li Xue-pei et al [1] Adult adenoidal hypertrophy of the sub-degree, 15 cases in this article were 7 cases of grade Ⅱ hypertrophy (46.66%); Ⅲ degree of hypertrophy in 8 cases (53.33%). CT examination and nasopharyngeal nasopharyngeal tumor biopsy, excluding nasopharyngeal cancer, the final pathological diagnosis of adenoidal hypertrophy. 1.2 treatment of 15 patients were under general anesthesia using endoscopic resection of oral suction power adenoids removed. Fill in the nasal cavity of all patients completed the double-expansion foam a 10cm long, direct nasopharyngeal surgery wound hemostasis. Postoperative use of preventive antibiotics and hemostatic 3d, after 24h extraction expansion foam. 1.3 Methods of preoperative care in patients with physical and mental assessment of adenoid hypertrophy-related diseases, development and prognosis of health education, as well as attention before and after surgery matters of education, to lift their ideological concerns; refined for preoperative preparation. Postoperative care focuses on the observation of vital signs, bleeding wound to enhance observation and care, to ensure airway patency, diet guidance, to enhance nutritional support. 2 Results After 24h extraction expansion of sponges, eight ca