Supriya M, Shakeel M, Veitch D, Ah-See K Wong
Department of Otolaryngology Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK.
J Laryngol Otol. 2010 Jul;124(7):744-9. doi: 10.1017/S0022215110000411. Epub 2010 Apr 20.
To assess impact of site of idiopathic epistaxis on adult patient management and its association with patient demographics and co-morbidities.
The site of epistaxis, patient data, their management and outcomes prior to discharge was recorded prospectively for 100 consecutive eligible adult patients.
Fifty three patients had anterior and 47 patients had a posterior site of bleeding. The site of epistaxis was not related to the patient s age, medical condition or medication.
Most patients with epistaxis can be controlled with nasal cauterisation. However, patients with posterior epistaxis are more likely to need hospital admission, are twice as likely to require nasal packing, and stay in hospital longer. There appears to be no link between the site of epistaxis and patient factors.
评估特发性鼻出血部位对成年患者治疗的影响及其与患者人口统计学特征和合并症的关联。
前瞻性记录了连续100例符合条件的成年患者的鼻出血部位、患者数据、治疗情况及出院前结局。
53例患者鼻出血部位在前庭，47例患者鼻出血部位在后部。鼻出血部位与患者年龄、健康状况或用药情况无关。
大多数鼻出血患者可通过鼻腔烧灼法得到控制。然而，后部鼻出血患者更有可能需要住院治疗，需要鼻腔填塞的可能性是前者的两倍，且住院时间更长。鼻出血部位与患者因素之间似乎没有关联。
