편도 및 아데노이드 절제술 후 출혈에 관한 임상적 고찰

Background and Objectives: Hemorrhages is one of the complications after tonsillectomy and adenoidec- tomy. Despite continuous efforts to eliminate this problem, it still remains unsolved problem. Materials and Methods: A retrospective study on all patients who has undergone tonsillectomy or tonsillectomy and ade- noidectomy in Chunchon Sacred Heart Hospital during 9 years from January 1995 to January 2004. Post-operative hemorrhage relation to sex and age distribution, the type of hemorrhages, operator, operative indication, the treatment methods, the site of hemorrhage, the cause of hemorrhage, the period of onset of post-operative hemorrhage was analyzed. Results: The overall hemorrhage rate was 3.2%. Postoperative hemorrhages proved to be most common in adult male patients and when operative indication was frequent and chronic infection. Conclusion: To prevent post-operative hemorrhage, meticulous bleeding control during operation and perioperative education is most important. (J Clinical Otolaryngol 2005;16:73–78)