[鼻腔封闭作为遗传性出血性毛细血管扩张症鼻出血的确定性治疗方法]
[Nasal closure as definitive treatment for epistaxis in Rendu-Osler-Weber disease].
作者信息
Alonso-Treceño José L, Alonso-Castañeira Ignacio, Escapa-Garrachón José M, Moralejo-Martín Jesús, Enterría-González Angela, Freijanes-Otero Jorge
机构信息
Servicio de Otorrinolaringología, Complejo Hospitalario de Palencia, Palencia, España.
出版信息
Acta Otorrinolaringol Esp. 2008 Oct;59(8):420-3.
OBJECTIVE
To show the result of this surgical technique for the treatment of nasal bleeding in Rendu-Osler-Weber disease.
METHOD
After great efforts to obtain informed consent for the procedure, considered as a final therapeutic attempt, we present here the surgical technique used in a severe long-standing case with frequent symptoms that required a large number of admissions to our hospital and caused our patient considerable social, family and work-related psychological problems.
RESULTS
The surgical procedure was performed 14 months ago, with no further epistaxis since then, thus bringing to an end the emergency admissions, rated at 7 per year, and reducing consultations at the digestive and psychological clinics. The laboratory studies (haematocrit, complete blood count, bleeding time) have improved greatly.
CONCLUSIONS
This is a safe technique, well tolerated by the patient, that avoids additional pathologies and reduces costs.
目的
展示这种外科技术治疗遗传性出血性毛细血管扩张症鼻出血的效果。
方法
在为该手术获得知情同意书付出巨大努力后（此手术被视为最终治疗尝试），我们在此呈现用于一例严重且长期存在症状的病例的外科技术，该病例频繁出现症状，需要多次入住我院，给患者带来了相当多的社会、家庭及工作相关的心理问题。
结果
手术于14个月前进行，自那以后未再发生鼻出血，从而结束了每年7次的紧急入院情况，并减少了消化科和心理科门诊的就诊次数。实验室检查（血细胞比容、全血细胞计数、出血时间）有了很大改善。
结论
这是一种安全的技术，患者耐受性良好，可避免其他病变并降低成本。
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