비출혈로 입원한 환자의 분석

Background and Objectives: Epistaxis ranks the most common of otolaryngologic emergencies. Despite its high prevalence, the management of epistaxis-especially profuse, posterior epistaxis-remanis controversial. We analyzed the epistaxis patients who require hospital admission. Materials and Methods: From January 1994 to December 2003, 73 patients required hosipital admission due to refractory epistaxis. Records of the hospital admission were reviewed and analyzed, retrospectively. Results: 51 (70%) of the patients were male and 22 (30%) were female. Age distribution was highest in 40—49 years group and number of case was greatest in winter months. The mean duration of hospital stay was 8.5 days. The most frequent preexisting local factor and general factor were nasal septal deviation and hypertension. Of the 73 patients, 34 patients were adequately managed with anterior nasal packing, 11 patients with posterior nasal packing and 26 patients needed to manage with surgical intervention. Recently we performed endoscopic electrocautery/ligation of sphenopalatine artery in 7 patients with refractory posterior epistaxis with The mean duration of hospital stay was 4.2 days and further episodes of epistaxis was not happened. Conclusion: We analyzed the epistaxis patients who required hospitalization. Precise localization of bleeding focus and prompt management reduced hospital stay and recurrence. (J Clinical Otolaryngol 2004;15:239–244)