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老年人顽固性鼻出血的处理 被引量:15

The treatment of the intractable aged epistaxis
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摘要 目的 探讨老年人顽固性鼻出血的治疗方法及疗效。 方法 回顾性分析 72例老年人顽固性鼻出血的治疗经过及资料。 结果  72例中 ,5 0例与鼻中隔偏曲有关的患者施行了鼻中隔矫正术并取得良好止血效果 ,其中只有 2例因再次鼻出血复行血管栓塞术止血 ;有 10例无严重心血管疾病患者行数字减影造影及血管栓塞术成功止血 ;另有 12例在鼻内窥镜下检查及止血且效果良好。 结论 与鼻中隔偏曲有关的老年人顽固性鼻出血患者应考虑施行鼻中隔粘骨膜下矫正术 ;数字减影造影及血管栓塞术是一种有效的治疗顽固性鼻出血的方法 ,但要严格掌握适应证 ;在鼻内窥镜下检查及止血 ,效果好且痛苦小 ,尤其适用于老年患者 。 Objective To evaluate the treatment and effectiveness of the intractable aged epistaxis. Methods The data of 72 aged patients with intractable epistaxis were analysed retrospectively. Results Submucous resection of nasal septum were performed on 50 patients suffered from epistaxis related to serious deviation of nasal septum and the effects were excellent. Two of them were retreated using digital subtraction agiography (DSA) and vascular embolization because of re epistaxis. 10 patients with no serious cardiovascular diseases were cured after DSA and superselective endovascular embolization; another 12 of them were treated effectively with endoscopy due to poor conditions and showed good results with a little pain. Conclusions Submucous resection of nasal septum should be used only for those patients with serious deviation in nasal septum;DSA and superselective endovascular embolization were effective means for the intractable epistaxis, especially in the elders, but the indication should be mastered strictly. The endoscopy was useful for the examination and worthy of expanding.
出处 《中华老年医学杂志》 CAS CSCD 北大核心 2001年第4期266-268,共3页 Chinese Journal of Geriatrics
关键词 鼻出血 诊断 治疗 鼻内窥镜 老年人 Epistaxis Nasal septum
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  • 1韩希年,贵阳医学院学报,1989年,14卷,7页 被引量:1
  • 2程家文,介入性放射学,1985年 被引量:1
  • 3冯敢生,中华放射学杂志,1985年,19卷,193页 被引量:1

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