耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
臨床
頭頸部外科手術における術後出血の検討
石永 一大津 和弥宮村 朋孝竹内 万彦
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ジャーナル 認証あり

2013 年 106 巻 9 号 p. 843-846

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We performed a retrospective review of 1265 surgical procedures performed at our department between January 2007 and December 2011. We identified 20 patients with post-operative hemorrhage in head and neck surgery. The procedure most often complicated by wound bleeding was parotidectomy (6.5%), followed by laryngectomy (3.9%). Symptoms of hemorrhage developed within was obsevued 12 hours in 85% of the patients. However, delayed hemorrhage, more than 24 hours after the operations, in two cases. In our study, two cases of laryngeal edema were found after re-operation, with tracheostomy necessitated in one case.
Careful hemostasis and early recognition with immediate intervention are required to prevent severe complications after head and neck surgery.
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© 2013 耳鼻咽喉科臨床学会
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