2008 Volume 51 Issue 6 Pages 442-446
Four hundred forty-two patients with epistaxis who visited Niigata University of Medical Hospital during the previous three years were analyzed statistically. The patients comprised 242 males and 220 females. The average age was 58 years, and the number of patients between their 50's and 70's tended to be higher. Epistaxis occurred more frequently in March and December, but the number of admissions was significantly lower in the autumn season.
Of the total, 227 patients were treated by tamponade and 83 by electric and chemical coagulation. As for the general complications, hypertension was the most common. In regard to anticoagulant therapy, 69 patients were receiving anticoagulant therapy, with 51 receiving antiplatelet drugs, and 36 receiving anticoagulant drugs.
In all, 55 patients had rebleeding after the hematostatic therapy. Among these patients, more than half had complications or anticoagulant therapy and 28 required hospitalization. Proportion of them with all complication and anticoagulant therapy was more than that of rebleeding patients. The percentage of patients with complications or receiving anticoagulant therapy, in particular, the latter, was higher than that with rebleeding in the hospitalized patients.
