Sherman J A, Tate R J
Department of Oral and Maxillofacial Surgery, The Ipswich Hospital NHS Trust, Suffolk, UK.
Br J Oral Maxillofac Surg. 2000 Aug;38(4):264-6. doi: 10.1054/bjom.1999.0173.
Postnasal haemorrhage accompanying severe craniofacial trauma may have catastrophic consequences if not arrested promptly. The airway has usually been secured and the cervical spine stabilized, but apart from fluid replacement, other attempts to control haemorrhage in the resuscitation room of the accident and emergency department may be to no avail. We wish to draw attention to a simple device that was introduced over 100 years ago and which may rapidly aid haemostasis and prevent the onset of hypovolaemic shock.
严重颅面创伤伴发的鼻后出血若不及时制止,可能会导致灾难性后果。气道通常已得到保障,颈椎也已固定,但在事故和急诊科的复苏室中,除了补液之外,其他控制出血的尝试可能都无济于事。我们希望引起大家对一种100多年前就已出现的简单装置的关注,它可能会迅速帮助止血并防止低血容量性休克的发生。