Faculty Information |
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Article types | Original article |
Language | English |
Refereed paper | Refereed |
Title | Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years. |
Journal | Formal name:ORL; journal for oto-rhino-laryngology and its related specialties Abbreviation:ORL J Otorhinolaryngol Relat Spec ISSN code:1423-0275(Electronic)0301-1569(Linking) |
Domestic / Foregin | Foregin |
Volume, Number, Page | 78(4),pp.232-40 |
Papers・Author | Yukitatsu Yoriko, Tsuzuki Kenzo, Takebayashi Hironori, Sakagami Masafumi |
Publication date | 2016/07 |
Papers・Description | AIM:This study reviews our clinical experience of patients with epistaxis and discusses proper management.PATIENTS AND METHODS:We retrospectively investigated 1,515 patients with epistaxis treated in our department between 2005 and 2010.RESULTS:Men over 50 years old predominated. More than half of the patients (n = 828) first visited after consultation hours,RESULTS:and 40% (n = 606) were brought by ambulance. The most common underlying diseases were circulatory diseases (69%, n = 1,047). Antithrombotics were being administered to 23% (n = 345). Kiesselbach's plexus was the most commonly observed bleeding site (51%, n = 769). In 20% (n = 297), no bleeding point was confirmed because hemostasis had been achieved on arrival. Anterior packing was the most common primary treatment, followed by electrocauterization. Hospitalization was required in 2% (n = 30). Re-bleeding occurred within 14 days after primary treatment in 14% (n = 206). Surgical treatment was performed for 5% (n = 11).CONCLUSIONS:Patients showing repeated pulsatile arterial bleeding require hospitalization for surgical therapy, although outpatient therapy is sufficient in most cases. A risk of re-bleeding should be considered if patients show unclarified bleeding points and circulatory diseases. |
DOI | 10.1159/000446187 |
PMID | 27438263 |