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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 33(6); 1990 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1990;33(6): 1149-54.
Clinical Evaluation of Post-Operative Bleeding after Tonsillectomy and/or Adenoidectomy
Dong Hyouk Lee, MD, Chang Su Ahn, MD, Bum Gue Cho, MD, Yong Kee Chang, MD, Dong Ha Chi, MD, Won Yong Lee, MD, and Chong Ae Kim, MD
Department of Otolaryngology, Wallace Memorial Baptist Hospital, Busan, Korea
편도적출술후 출혈에 관한 임상적 고찰
이동혁 · 안창수 · 조범규 · 장용기 · 지동하 · 이원용 · 김종애
부산 침례병원 이비인후과
ABSTRACT

The retrospective study for evaluation of post-operative bleeding was performed on 403 cases of tonsillectomy and/or adenoidectomy for one year. The results obtained were as follows ; 1) Total number of post-operative bleeding were 10 cases(2.48%). The primary bleedings were 6 cases(1.49%) and secondary bleedings were 4 cases(0.99%). 2) In sex incidence, 8 cases were male and 2 cases were female. In age distribution the highest incidence was in the group of 21-25 and followed by group of 26-30 and 16-20. 3) There was no specific difference in post-operative bleeding incidence by operators, as seasons and types of anesthesia. 4) In 10 cases of post-operative bleeding, the number of post-tonsillectomy bleeding were 8 cases and post-adenoidectomy bleeding were 2 cases. 5) In bleeding control methods during operation, the highest incidence was in compression method(25%) and followed by ligation of vessels(2.86%) and electrocoagulation(2.70%). 6) In 16 cases which had abnormal pre-operative laboratory findings(2 cases of prolonged coagulation time and 14 cases of abnormal count of platelet), no post-operative bleeding case was noted. 7) In pre-operative and post-operative systolic and diastolic blood pressure, pre-operative values for the bleeders did not differ from those for the total population, but post-operative values were significantly higher for the bleeding group.

Keywords: Evaluation of post-tonsillectomy bleeding.
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