摘要
目的:从解剖结构及临床分析评价后鼻孔填塞的效果,为改进填塞方法提供理论依据。方法:在40例沿正中矢状面剖开的成人尸头上模拟后鼻孔填塞,将填塞纱球对后鼻孔区域的压痕、印迹用模式图描绘与于透明薄膜上进行观察。同时,回顾性分析了72例鼻腔后部出血的住院病人。结果:模拟操作显示下鼻道后部与鼻甲后间隙几乎未受到纱球的压迫。临床统计显示后鼻孔填塞的成功率为68.18%,一次性填塞的成功率为31.43%。结论:由于解剖上的特点,对源自鼻-鼻咽静脉丛的鼻出血,传统的后鼻孔填塞并不可靠。
Objective: To assess the hemostative effective using posterior packing at anatomical structure and clinical analysis so as to provide theoretic basis for improving the method. Methods: Imitative posterior packing was done on 40 adult half-head cadaveric specimens which were dissected on median sagittal section The imprint and vestige formed on choanae area were depicted on a transparent film of plastic as model picture and observed,and 72 patients who had bloods that originated in the posterior part of the nose cavity were also analysed retrospectively.Results: There was almost no pressure from gauze pack on posterior part of inferior meatus and retroconchal space. The success rate of such performance was 68.18% according to clinical data. The success of single performance packing was 31.43%. Conclusion: it is not reliable to do traditional posterior packing on epistaxis from inferior meatus and retroconchal space.
出处
《实用中西医结合临床》
2003年第1期3-4,共2页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
关键词
鼻出血
后鼻孔填塞
止血
实验研究
epistaxis anatomy
posterior packing
hemostatice
experiment research
