Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

비출혈로 입원한 환자의 분석

이현순1, 윤빛나1, 안정혁1, 김태원1, 이정훈1, 노환중1,*
Hyun-Sun Lee1, Bit-Na Yoon1, Jung-Hyg Ahn1, Tae-Won Kim1, Jung-Hun Lee1, Hwan-Jung Roh1,*
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University, Busan, Korea
*교신저자: 노환중, 602-739 부산광역시 서구 아미동 1가 부산대학교 의과대학 이비인후과학교실 전화: (051) 240-7333·전송: (051) 246-8668 E-mail: rohhj@pusan.ac.kr

© Copyright 2004 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 20, 2004; Accepted: Nov 25, 2004

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 비출혈; 입원; 분석
Keywords: Epistaxis; Hospitalization; Analysis