Schuldt T, Dommerich S
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie Otto Körner, Universität Rostock, Doberaner Str. 137/139, 18057, Rostock, Deutschland.
HNO. 2012 Mar;60(3):283-6. doi: 10.1007/s00106-011-2328-6.
We present the case report on a 66-year-old male patient who appeared in our clinic with recurrent epistaxis. Anterior rhinoscopy during acute bleeding yielded no information on the origin of hemorrhage. On renewed epistaxis, angiography was performed on which an arteriovenous malformation in the sphenoid sinus could be identified as the cause of epistaxis. Embolization of afferent vessels successfully reduced the malformation and stopped the bleeding. In cases of recurrent epistaxis, especially in combination with an unremarkable anterior rhinoscopy, angiography is recommended for the detection of life-threatening vessel malformations.
我们报告一例66岁男性患者，该患者因反复鼻出血前来我院就诊。急性出血期间的前鼻镜检查未提供出血来源的信息。再次鼻出血时，进行了血管造影，结果显示蝶窦内的动静脉畸形是鼻出血的原因。对供血血管进行栓塞成功缩小了畸形并止住了出血。对于反复鼻出血的病例，尤其是在前鼻镜检查无异常的情况下，建议进行血管造影以检测危及生命的血管畸形。
