摘要
本文报告头伤后发生严重迟发性鼻出血3例。出血原因:1例系海绵窦内颈内动脉创伤性动脉瘤破入蝶窦,另2例系颈内动脉海绵窦瘘与蝶窦发生沟通所致。手术治疗均获成功。文献中,前者报道已逾百例,后者仅报道两例。文中就出血途径,临床表现,急救与诊断,以及手术治疗等问题进行讨论。
Three cases with delayed severe epistaxis after head injury were reported. The bleeding cause of the first case was due to cavernous-internal carotid artery traumatic aneurysm which ruptured into the sphenoid sinus, the second and third cases were due to communication between carotidcavernous fistula and the sphenoid sinus. Satisfactory results were obtained after surgical therapy. After extensive review of the literatures it was revealed that more than 100 cases of cavernous-internal carotid artery traumatic aneurysm which ruptured into the sphenoid sinous were reported, but only two cases of communication between carotid-cavernous fistula and the sphenoid sinus were found in the literatures. The bleeding route, clinical symptoms, emergency control of acute bleeding, diagnosis as weU as surgical treatment of the diseases were discussed in detail in this paper.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1992年第5期269-271,共3页
Chinese Journal of Trauma
关键词
鼻出血
头伤
创伤性动脉瘤
Epistaxis Head injury Traumatic aneurysm