Wanke I, Lautermann J, Möller-Hartmann C, Forsting M
Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45147, Essen, Deutschland.
HNO. 2009 Sep;57(9):953-7. doi: 10.1007/s00106-007-1547-3.
Epistaxis can become an ENT emergency situation. In most patients the bleeding source are branches of the external carotid artery. Hemorrhage of the internal carotid artery is very rare and can be due to inflammatory disease, trauma, or iatrogenic laceration of the ICA during endonasal surgery. Depiction of the bleeding source with radiological methods (computed tomography with contrast enhancement and conventional angiography) is crucial to avoid fatal complications. We report three cases with life-threatening epistaxis in whom bleeding was stopped with endovascular treatment alone.
鼻出血可能会成为耳鼻喉科的紧急情况。在大多数患者中，出血源是颈外动脉的分支。颈内动脉出血非常罕见，可能是由于炎症性疾病、外伤或鼻内手术期间颈内动脉的医源性撕裂所致。用放射学方法（增强计算机断层扫描和传统血管造影）描绘出血源对于避免致命并发症至关重要。我们报告了三例危及生命的鼻出血病例，这些病例仅通过血管内治疗就止住了出血。
