편도 적출술 후 이차출혈에 관한 임상양상과 원인적 분석

Background and Objectives: Post-tonsillectomy hemorrhages are recognized as the most serious complication, and occur as a primary (<24h) or secondary (>24h) hemorrhage. The aim of this study was to ascertain the incidence and character of secondary post-tonsillectomy hemorrhages. Materials and Methods: Retrospective chart reviews of 927 patient who underwent tonsillectomy between January 1, 2001, and December 31, 2005, at our institution. Results: Secondary hemorrhages occurred in a total of 80 patients (8.6%) and the incidence of secondary hemorrhages peaked at 21 – 30 years in both men and women (p<0.05). The reverse trendelenburg position of patient increased the incidence of secondary hemorrhages by comparison with Rose’s position (p<0.05). There was no statistical significance associated with the seasons of year or preoperative upper respiratory infection. Most of the hemorrhages were controlled with electrocautery and conservative treatment. Conclusion: To reduce the incidence of secondary hemorrhage, active hemostasis in proper surgical position is needed and patients should carry out the precautions given to them. (J Clinical Otolaryngol 2007^;18:60–64)