Waleem Sheikh Saadat Ullah, Ullah Saeed
Department of ENT, Combined Military Hospital, Muzaffarabad, Pakistan.
J Ayub Med Coll Abbottabad. 2010 Jan-Mar;22(1):46-8.
Common causes for unilateral nasal bleeding in adults are benign or malignant tumours, deviated nasal septum, nasal trauma and foreign bodies. Nasal leech infestation has not been identified as a cause of nasal bleeding in most of the textbooks of Ear Nose and Throat. Over 3 years, at Combined Military Hospital Muzaffarabad, and Combined Military Hospital Abbottabad, we have dealt with 38 such cases presenting with epistaxis where the cause was found to be leech infestation.
A descriptive study was carried out at Combined Military Hospital Muzaffarabad and Combined Military Hospital Abbottabad over a period of 3 years. All patients whose epistaxis was due to leech infestation were included in the study regardless of age and sex.
A total of 38 such cases presented with nasal Hirudiniasis as a cause of unilateral epistaxis. 29 were male and 09 female. All of the patients related their problem to the intake of fresh water of stream origin. The mean duration of symptoms was 12 weeks SD 3.0.
It is concluded that nasal Hirudiniasis (nasal leech infestation) is a cause of unilateral epistaxis in areas like Muzaffarabad, Azad Kashmir and Abbottabad, where leeches are a common inhabitants of fresh water streams.
成人单侧鼻出血的常见原因包括良性或恶性肿瘤、鼻中隔偏曲、鼻外伤和异物。在大多数耳鼻喉科教科书中，鼻蛭感染尚未被认定为鼻出血的原因。在3年多的时间里，在穆扎法拉巴德联合军事医院和阿伯塔巴德联合军事医院，我们处理了38例鼻出血病例，发现其病因是蛭虫感染。
在穆扎法拉巴德联合军事医院和阿伯塔巴德联合军事医院进行了一项为期3年的描述性研究。所有因蛭虫感染导致鼻出血的患者，无论年龄和性别，均纳入本研究。
共有38例此类病例表现为鼻蛭病导致单侧鼻出血。男性29例，女性9例。所有患者均将其问题与饮用溪水有关。症状的平均持续时间为12周，标准差为3.0。
得出结论，在穆扎法拉巴德、阿扎德克什米尔和阿伯塔巴德等地区，鼻蛭病（鼻蛭感染）是单侧鼻出血的一个原因，这些地区的溪水中蛭虫是常见的生物。
