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鼻内镜检查与鼻出血出血源定位:过去十年的变革

Nasal endoscopy and localization of the bleeding source in epistaxis: last decade's revolution.

作者信息

Almeida Glauco Soares de, Diógenes Camilo A, Pinheiro Sebastião D

机构信息

Federal University of Ceará, Hospital Otoclínica, Fortaleza, Ceará.

出版信息

Braz J Otorhinolaryngol. 2005 Mar-Apr;71(2):146-8. doi: 10.1016/s1808-8694(15)31302-1. Epub 2005 Aug 2.

Abstract

UNLABELLED

Epistaxis remains one of the most common otolaryngology emergencies. Despite considerable interest in the subject, there is still no consensus on the most appropriate primary therapeutic modality.

AIM

The purpose of this study was to evaluate the bleeding source of acute or recurrent epistaxis in adults.

STUDY DESIGN

Clinical prospective.

MATERIAL AND METHOD

Thirty adults patients with acute or recurrent epistaxis were evaluated through the use of frontal light and endoscope for identification of the bleeding source in the nasal cavity.

RESULTS

Use of the nasal endoscope allowed diagnosis of the bleeding site in all patients.

CONCLUSION

A careful examination of the posterior nasal cavity allows identification of the bleeding source in most patients and should be a routine procedure.

摘要

未标注

鼻出血仍然是最常见的耳鼻喉科急症之一。尽管对该主题有相当大的兴趣,但对于最合适的主要治疗方式仍未达成共识。

目的

本研究的目的是评估成人急性或复发性鼻出血的出血来源。

研究设计

临床前瞻性研究。

材料与方法

通过使用额镜和内窥镜对30例成人急性或复发性鼻出血患者进行评估,以确定鼻腔内的出血来源。

结果

使用鼻内窥镜能够诊断所有患者的出血部位。

结论

仔细检查鼻腔后部可在大多数患者中确定出血来源,应作为常规程序。

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本文引用的文献

1
Endovascular treatment of epistaxis.鼻出血的血管内治疗
ANZ J Surg. 2004 Sep;74(9):751-3. doi: 10.1111/j.1445-1433.2004.03145.x.
3
Anatomic variations of the arteries of the nasal fossa.鼻腔动脉的解剖变异。
Otolaryngol Head Neck Surg. 2003 Feb;128(2):236-9. doi: 10.1067/mhn.2003.84.
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Endoscopic ligation or diathermy of the sphenopalatine artery in persistent epistaxis.
J Laryngol Otol. 1997 Nov;111(11):1047-50. doi: 10.1017/s0022215100139301.
10
Microsurgery in severe posterior epistaxis.
Rhinology. 1985 Dec;23(4):321-5.

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