| 郑玉美,冯益进,徐永田.难治性鼻出血63例内镜下临床特点及对策[J].安徽医药,2017,21(3):493-495. |
| 难治性鼻出血63例内镜下临床特点及对策 |
| Clinical analyses of 63 patients with refractory epistaxis managed by nasal endoscopic surgery |
| 投稿时间：2016-12-30 |
| DOI： |
| 中文关键词: 鼻出血 鼻内镜检查 治疗结果 |
| 英文关键词: Epistaxis Nasal endoscopy Treatment outcome |
| 基金项目: |
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| 摘要点击次数: 1771 |
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| 中文摘要: |
| 目的 探讨难治性鼻出血内镜下临床特点,为精准治疗鼻出血提供临床资料。 方法 回顾性分析63例经鼻内镜术下止血的难治性鼻出血病人的临床资料,分析难治性鼻出血病人内镜下主要出血部位和出血类型。 结果 63例病人中男性42例,高血压病史39例,有27例出血位于下鼻道,14例位于鼻中隔,8例位于中鼻道,7例位于嗅裂区,5例位于鼻腔最前上区,鼻咽腔及部位不明各1例；动脉瘤样出血51例,黏膜下型出血11例,不明类型1例。 结论 难治性鼻出血部位主要位于下鼻道、鼻中隔和嗅裂区。动脉瘤样型为鼻出血的主要类型,该类型较易止血。鼻内镜技术对岀血部位准确电凝,疗效好且并发症少,可作为难治性鼻出血的首选治疗方案。 |
| 英文摘要: |
| Objective To investigate the clinical features of 63 patients in our hospital. Methods Clinical data was analyzed retrospectively in 63 patientswith refractory epistaxis between Jan 2014 and Oct 2016,the survey included common risk factors,main position of hemorrhage and main type of hemorrhage. Results There were 42 male in patients,39 patients had history of hypertension.27 patients′ bleeding position was located in inferior nasal meatus and 14 patients′ located in nasal septum while 8 patients′ in middle turbinate and 7 in olfactory cleft and 5 in the front of the nasal area and 1 case is not clear.51 cases of epistaxis are like aneurysm and 11 patients with submucosal hemorrhage,1 case is not clear. Conclusions The main positions of refractory epistaxis are the inferior nasal meatus,nasal septum and olfactory cleft.The main type of epistaxis is aneurysm and it is always located in inferior nasal meatus.Nasal endoscopic examination can locate the bleeding sources precisely,and electrocoagulationor local packing is an effective means for treatment of refractory epistaxis. |
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