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重症鼻出血76例临床分析 被引量:2

Serious epistaxis :with a report of 76 cases
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摘要 目的 :总结重症鼻出血的特点及治疗方法。方法 :回顾分析重症鼻出血 76例的临床资料。结果 :重症鼻出血多发生于老年人 ,合并高血压病者占 4 1% ,多属于后鼻孔出血。 6 2例施行鼻腔填塞治疗 ,14例施行动脉结扎术。随访 1年 ,无并发症。结论 :重症鼻出血凶涌 ,应及时采取鼻腔填塞对出血部位进行有效的压迫止血 ,鼻腔填塞失败后 ,要早期施行颈外动脉或 (和 )及筛前动脉结扎术。 Objective:To investigate the characteristics and treatment for serious epistaxis. Method: The clinical data of 76 patients with serious epistaxis were retrospectively studied. Result: Serious epistaxis was most common in the old and in posterior nasal cavity.Thirty-one cases(41%) had hypertension.Sixty-two cases were successfully controlled with filled with nasoforamin,14 cases were cured by ligating artery. No complications were found in a follow-up of one year. Conclusion: Serious epistaxis is urgent and dangerous, and it should be treated by filling with nasoforamin in time, if it is fail,ligating the external carotic artery or/and anterior ethmoid artery should be performed earlier.
出处 《山东大学基础医学院学报》 2005年第1期26-27,共2页 Journal of Preclinical Medicine College of Shandong Medical University
关键词 鼻出血 治疗结果 Epistaxis Treatment outcome
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参考文献4

  • 1陈福权,邱建华,乔莉,黄华,刘永收.经鼻内窥镜射频治疗下鼻道出血[J].山东大学基础医学院学报,2003,17(4):207-208. 被引量:6
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二级参考文献6

  • 1Iadaianca Neto JF, Fuchs FD, Facco SR,et al. Is epistaxis evidence of end- organ damage in patients with hypertension[J] ? Laryngoscope, 1999,109(7 Pt 1):1111 -1115.
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  • 3Monte ED, Belmont MJ, Wax MK. Management paradigms for posterior epistaxis: a comparison of costs and complications[J]. Otolaryngol Head Neck Surg, 1999,121(1):103- 106.
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