外頸動脈結紮術により救命できた扁桃摘出術後出血例

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  • A Case of Excessive Post-tonsillectomy Hemorrhage Rescued by Ligature of the External Carotid Artery
  • 臨床 外頸動脈結紮術により救命できた扁桃摘出術後出血例
  • リンショウ ソト ケイドウミャク ケッサツジュツ ニ ヨリ キュウメイ デキタ ヘントウ テキシュツ ジュツゴ シュッケツレイ

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Ligature of the external carotid artery (LECA) is a very effective and final method of choice in patients with excessive post-tonsillectomy hemorrhage. I report herein on the case of a 26-year-old woman who underwent LECA for an excessive post-tonsillectomy hemorrhage. Her tonsillectomy had been performed under general anesthesia for habitual angina eight days previously. In the early morning of the 8th postoperative day sudden and excessive bleeding occurred and the patient went into shock. Immediate LECA was performed under general anesthesia. The bleeding was stopped promptly and completely. Subsequently, a tracheostomy and a blood transfusion were performed. The patient was discharged 21 days after the LECA without any severe complications.

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