口蓋扁桃摘出術における術後出血の検討

• 岡田 昌浩

  愛媛大学耳鼻咽喉科

• 小林 泰輔

  愛媛県立中央病院耳鼻咽喉・頭頸部外科

• 中村 光士郎

  愛媛県立中央病院耳鼻咽喉・頭頸部外科

書誌事項

タイトル別名

• Post-tonsillectomy Hemorrhage in Adult Patients
• 臨床 口蓋扁桃摘出術における術後出血の検討
• リンショウ コウガイ ヘントウ テキシュツジュツ ニ オケル ジュツゴ シュッケツ ノ ケントウ

抄録

Hemorrhage following tonsillectomy is still a major complication despite the development of new hot knives. In this study, a retrospective review of 242 adult patients who underwent tonsillectomy in the Department of Otolaryngology, Ehime Prefectual Central Hospital between January 2000 and March 2007 was conducted. Post-tonsillectomy hemorrhage occurring in 56 patients (23.1%); four of these patients experienced hemorrhage during the first 24 hours postoperatively, and the remaining 52 had delayed bleeding. Nine of 56 patients (3.7%) required a procedure to control their bleeding under general anesthesia. The hemorrhage rate in males was significantly higher than in females. There was no statistically significant difference in hemorrhage rates based on age, body mass index (BMI), duration of surgery and smoking. Patients who received antibiotics postoperatively experienced less secondary hemorrhage than those without antibiotics. In 99 patients who were administered antibiotics, patients who used cephalosporins experienced less secondary hemorrhage than those who received penicillins. These results indicate that antibiotics after tonsillectomy are effective to reduce post-tonsillectomy hemorrhage rates.<br>

収録刊行物

• 耳鼻咽喉科臨床

  耳鼻咽喉科臨床 102 (3), 219-223, 2009

  耳鼻咽喉科臨床学会

キーワード

• tonsillectomy
• smoking
• antibiotics
• gender

詳細情報

• CRID: 1390282679241208064
• NII論文ID: 10024762682
• NII書誌ID: AN00107089
• DOI: 10.5631/jibirin.102.219
• ISSN: 18844545
• ISSN: 00326313
• NDL書誌ID: 10194245
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I10194245
• Web Site: https://search.jamas.or.jp/link/ui/2009140646
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可