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

편도 적출술 후 이차출혈에 관한 임상양상과 원인적 분석

김범규1,*, 김일우1, 장재혁1, 박일석1, 김용복1
Beom Gyu Kim1,*, Il Woo Kim1, Jai Hyuk Chang1, Il-Seok Park1, Young Bok Kim1
1한림대학교 의과대학 이비인후-두경부외과학교실
1Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Seoul, Korea
*교신저자: 김범규, 150-020 서울 영등포구 영등포동 2가 94-200 한림대학교 의과대학 이비인후-두경부외과학교실 전화: (02) 2639-5480·전송: (02) 2637-5480 E-mail: kbgyu2@hanmail.net

© Copyright 2007 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: Mar 19, 2007; Accepted: May 11, 2007

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 편도적출술; 출혈
Keywords: Tonsillectomy; Hemorrhage