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鼻出血的治疗(附79例病例分析) 被引量:27

Treatment of epistaxis: a report of 79 cases
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摘要 目的 总结鼻出血的治疗经验,分析治疗中可能存在的问题,探讨各种治疗措施在处理鼻出血中的意义。方法 对近6年来住院治疗的鼻出血病人79例进行回顾分析。结果 79例均治愈,治疗手段包括前后鼻孔填塞、内镜下激光烧灼、颈外动脉和/或筛前动脉结扎、经上颌窦颌内动脉结扎或数字减影血管造影颌内动脉栓塞等。结论 治疗鼻出血的关键是找准出血部位及明确出血原因,并根据病人实际情况采取有效止血措施。 Objective To summarize the management of epistaxis, and discuss the significance of various therapies. Methods Severty-nine hospitalized patients of epistaxis from 1995 to 2001 were retrospectively analyz. Results All patients were cured. The methods used in the treatment of epistaxis included anterior-posterior nasal packing, laser coagulation under nasal endoscopy, external carotid artery and/or anterior ethmoid artery ligation, internal maxillary artery ligation via transantral approach, and embolization under digital subtraction angiography. Conclusion The key to treating refractory epistaxis is to find the exact location and causes of bleeding or to adopt effective methods, depending on the individual condition of the patients.
出处 《中国耳鼻咽喉颅底外科杂志》 CAS 2003年第2期89-91,共3页 Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词 鼻出血 治疗 鼻腔填塞 激光烧灼 鼻内镜术 血管结扎术 Epistaxis/ther Nasal packing Lasar coagulation Nasal endoscopy Ligation of blood vessel
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