secondary hemorrhage


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hemorrhage

 [hem´ŏ-rij]
the escape of blood from a ruptured vessel; it can be either external or internal. Blood from an artery is bright red in color and comes in spurts; that from a vein is dark red and comes in a steady flow. Aside from the obvious flow of blood from a wound or body orifice, massive hemorrhage can be detected by other signs, such as restlessness, cold and clammy skin, thirst, increased and thready pulse, rapid and shallow respirations, and a drop in blood pressure. If the hemorrhage continues unchecked, the patient may complain of visual disturbances, ringing in the ears, or extreme weakness.
capillary hemorrhage oozing of blood from minute vessels.
cerebral hemorrhage a hemorrhage into the cerebrum; one of the three main causes of cerebral vascular accident (stroke syndrome).
concealed hemorrhage internal hemorrhage.
fibrinolytic hemorrhage that due to abnormalities of fibrinolysis and not hypofibrinogenemia.
internal hemorrhage that in which the extravasated blood remains within the body.
intracranial hemorrhage bleeding within the cranium, which may be extradural, subdural, subarachnoid, or cerebral.
petechial hemorrhage subcutaneous hemorrhage occurring in minute spots.
postpartum hemorrhage that which follows soon after labor.
primary hemorrhage that which soon follows an injury.
secondary hemorrhage that which follows an injury after a considerable lapse of time.

sec·on·dar·y hem·or·rhage

hemorrhage at an interval after an injury or an operation.

sec·on·dar·y hem·or·rhage

(sekŏn-dar-ē hemŏr-ăj)
Hemorrhage at an interval after an injury or an operation.

sec·on·dary hem·or·rhage

(sekŏn-dar-ē hemŏr-ăj)
Hemorrhage at an interval after an injury or an operation.
References in periodicals archive ?
In group A, (4.76%) patients had secondary hemorrhage and in group B, (1.58%) patient had secondary hemorrhage however this was insignificant (p = 0.310) as shown in table-2.
In our study there was no case of primary hemorrhage however there were cases of secondary hemorrhage in both groups, typically occurring between 5th and 8th postoperative days.
Data was entered in a proforma which included no of days, pain (VAS system), episodes of emesis per day and secondary hemorrhage (24 hours postoperative) by its presence and absence.
Dexamethasone given postoperatively for few days significantly reduces thepostoperative morbidity that is pain, episodes of emesis with no effect on secondary hemorrhage in patients undergoing tonsillectomy by dissection method.
Results of the telephone survey (N = 90) Postoperative ([less than or equal Scissors Forceps to]2 wk) outcome n (%) n (%) Experienced secondary hemorrhage 2 (4.4) 4 (8.9) Readmitted to the hospital 1 (2.2) 2 (4.4) Consulted general practitioner 6 (13.3) 7 (15.6) Consulted hospital physician 5 (11.1) 7 (15.6) Were prescribed an antibiotic 7 (15.6) 10 (22.2) By general practitioner 5 (11.1) 5 (11.1) By hospital physician 2 (4.4) 5 (11.1)
Single dose of dexamethasone given preoperatively significantly reduces the postoperative morbidity that is pain and episodes of emesis with no effect on secondary hemorrhage in patients undergoing tonsillectomy by dissection method.
In conclusion, I take issue with Windfuhr and Ulbrich's s contention that primary post-tonsillectomy hemorrhage is generally considered to be more common than secondary hemorrhage. Primary hemorrhage was practically unheard of where I trained, and it has been exceedingly uncommon in our group practice.
Our method of achieving hemostasis without electrosurgical means might influence our rate of both primary and secondary hemorrhage. Some authors have found a relationship between primary hemorrhage and suture ligation as well as between secondary hemorrhage and electrosurgery, and they concluded that the use of electrocautery decreases the incidence of primary hemorrhage.
An enoral suture was sufficient for 14 patients; 11 patients received their suture on the day of the operation (primary hemorrhage) and one patient each on postoperative day 5, 7, and 9 (secondary hemorrhage).
There were no cases of primary hemorrhage, but three patients were readmitted with secondary hemorrhage on postoperative days 5, 6, and 7.
One patient (0.23%) developed primary hemorrhage, and 16(3.7%) developed secondary hemorrhage. The onset of bleeding occurred anywhere from less than 24 hours to 15 days following surgery (mean: 8 days) (figure 1).