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鼻内镜术后迟发性鼻出血的原因和治疗 被引量:10

Etiology and treatment of delayed epistaxis after endoscopic surgery
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摘要 目的:探讨鼻内镜术后迟发性鼻出血的原因和治疗方案。方法:回顾性分析因鼻内镜术后鼻出血入院的11例患者,对其出血诱因、鼻内镜术式、出血时间、出血部位和治疗过程进行比较和总结,寻找规律,探讨内在的机制。结果:11例患者中,出血诱因不同,部位不同,经不同的治疗均达到了止血的目的。结论:鼻内镜术后迟发性鼻出血不容忽视,有一定的诱因,鼻内镜术式可能与出血部位有关,其治疗以鼻内镜下探查出血点后,给予相应治疗,效果较好。必要时行血管栓塞术。 Objective:To evaluate the etiology and management of delayed epistaxis after endoscopic surgery.Method:To retrospectivly analyze the clinical data of 11 cases for epistaxis after nasal endoscopic surgery.To compare their precipitating factors,their surgical approach,time and site of bleeding and management in order to find the intrinsic rules.Result:The precipitating factors,bleeding sites and treatments varied among patients.Conclusion:Delayed epistaxis after endoscopic surgery can not be neglected.There may be some precipitating factors.The surgical approach may be related to the bleeding site.It is better to treat the epistaxis using the endoscope to explore the bleeding site and to give corresponding intervention.
出处 《临床耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2011年第20期925-928,共4页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词 鼻出血 鼻内镜术 epistaxis endoscopic surgery
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参考文献6

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二级参考文献11

  • 1中华医学会耳鼻咽喉科学会,中华耳鼻咽喉科杂志,1998年,33卷,134页
  • 2韩德民,中华耳鼻咽喉科杂志,1996年,31卷,358页
  • 3许庚,内窥镜鼻窦外科学,1994年,123页
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