Ho E C, Mansell N J
Clin Otolaryngol Allied Sci. 2004 Dec;29(6):754-7. doi: 10.1111/j.1365-2273.2004.00922.x.
There are various effective treatment options for refractory posterior epistaxis including endoscopic diathermy or endoscopic artery ligation. If these treatment options are not immediately available, posterior nasal packing with Foley catheter is an effective and rapid non-surgical treatment alternative. A systematic approach is presented. The principles and mechanisms of action of the posterior nasal packing are explained. Nevertheless, there are morbidities involved and posterior packing can be painful and uncomfortable for the patient. Marking and modifying the catheter will help one inflate the balloon in the correct place and avoid the problem of nasal alar pressure necrosis.
对于难治性后鼻孔出血有多种有效的治疗选择，包括内镜电凝或内镜下动脉结扎。如果这些治疗方法无法立即实施，使用 Foley 导管进行后鼻孔填塞是一种有效且快速的非手术治疗选择。本文介绍了一种系统的方法。解释了后鼻孔填塞的原理和作用机制。然而，后鼻孔填塞存在一些并发症，并且对患者来说可能会很痛苦且不舒服。对导管进行标记和改良将有助于在正确的位置充盈球囊，避免鼻唇角压迫坏死的问题。
