氨甲環酸及其應用：兒童扁桃體切除術後出血處理方案的系統性回顧及通用管理指引介紹

// Tranexamic acid and beyond: A systematic review of pediatric post-tonsillectomy hemorrhage protocols and introduction of a universal management guideline

本研究系統回顧12份公開醫院兒童扁桃腺切除後出血（PTH）處理流程｜大多數建議以霧化抗纖維蛋白溶解藥物（TXA）治療活動性出血，靜脈注射（IV）TXA用於更嚴重出血｜提出全新通用流程，推薦所有PTH病例使用霧化TXA，活動性出血再加用IV TXA｜框架包含專科會診指引，提升臨床實務操作一致性與效果。

// This study systematically reviewed 12 publicly available hospital protocols for managing pediatric post-tonsillectomy hemorrhage (PTH), focusing on the use of nebulized and intravenous tranexamic acid (TXA). Most protocols recommended nebulized TXA for active bleeding, with IV TXA reserved for active or more severe bleeding. The authors introduced a universal protocol advocating nebulized TXA for all PTH cases and IV TXA for active bleeding, aiming to guide providers beyond tertiary centers. This framework also includes key guidelines for specialist consultation, enhancing practical management across clinical settings.

Published 2026年7月3日