鼻出血의 臨床統計的 考察

Abstract

[한글]

[영문]

Epistaxis is a bleeding from the nose varing in its amount from drops to massive one leading to shock.

With incidence of about 10% of nasal troubles, it has various etiology, bleeding point and treatment.

Author has clinically analysed 748 cases of epistaxis, 660 cases(88.2%) of outpatients and 88 cases (11.8%) of inpatients, during last six and half years from January 1, 1962 to June 30, 1968 in the Dept. of Otolaryngology, Severance Hospital, and following results were obtained.

1. Sex ratio: Male to female ratio was 2.2:1 in outpatient group and 2.7:1 in inpatient group.

2. Age incidence: 15-24 years 163 cases (24.9%), 25-34 years 122 cases (18.4%), and 5-14 years 119 cases (17.9%) in outpatient group. In inpatient group 45-54 years 31 cases (35.0%), 55-64 years 20 cases (22.8%), and 35-44 years 17 cases (19.3%) in that order. The average age of inpatient was higher than outpatient

group.

3. Monthly incidence: In outpatient group, August 20.4%, July 15.7% showing higher incidence in summer but in inpatient group there was no any seasonal predirection.

4. Bleeding site: Left to right ratio was 1.7:1 in outpatient. In inpatient group it was almost same in its ratio. As to bleeding point, 90.0% of outpatients and 25.0% of inpatients were derived from the Little's area. In inpatient group it was more common in posterior portion of inferior turbinate (36.5%).

5. Job: Laborer 20.1%, student 18.2%, housewife 14.5% in outpatient and housewife 23.9%, laborer 17.0%, officer 12.5% in inpatient group.

6. Etiology: In outpatient group, rhinitis 34.6%, trauma 31.1%, and hypertension 13.3% were common and in inpatient group, hypertension 16.0%. Generally speaking, local causes were more common in outpatient group and general causes were more common in inpatient group.

7. Duration of epistaxis: 66.6% of outpatients and 42.0% of inpatients arrived within 24 hours.

8. Duration of treatment: 90% of outpatients and 30% of inpatients were controlled within four days.

9. Method of treatment: In outpatient group, 47.0% were controlled with anterior nasal packing and 53.0% were controled with cauterization, and in inpatient group 90.8% were controlled with nasal packing and only 9.2% were controlled with cauterization.

48.9% of inpatient group were transfused and 51.2% of them required less than 2 pints.