Pande N M, Jain S K T, Mahore D M, Nitnaware A Z, Bokare B D, Sakhare P T
Department of Otolaryngology, Govt. Medical College, Nagpur, (Maharashtra).
Indian J Otolaryngol Head Neck Surg. 2006 Apr;58(2):160-1. doi: 10.1007/BF03050774.
Epistaxis, being the commonest ENT emergency requiring hospital admission, is clearly an important condition - not only to the specialist but also to any general practitioner. The role of routine coagulation studies in the management of patients suffering from epistaxis is unclear. In an attempt to address this issue, the prospective case study was carried out in the department of ENT in Government medical college and hospital Nagpur over span of 2 years from October 2001 to November 2003 in which 100 cases were studied. Coagulation studies were carried out in 100 patients but only 7 patients had abnormal coagulation profile. No other coagulation abnormalities were identified. This study supports the view that there does not appear to br role for routine coagulation studies in patients of epistaxis. The investigation for potential haemostatic disorder should be performed when clinically indicated and if necessary, in consultation with the hematology service.
鼻出血是最常见的需要住院治疗的耳鼻喉科急症，显然是一种重要病症——不仅对专科医生，而且对任何全科医生来说都是如此。常规凝血检查在鼻出血患者治疗中的作用尚不清楚。为了解决这个问题，于2001年10月至2003年11月期间，在那格浦尔政府医学院及医院的耳鼻喉科进行了一项为期2年的前瞻性病例研究，共研究了100例病例。对100名患者进行了凝血检查，但只有7名患者的凝血指标异常。未发现其他凝血异常情况。本研究支持这样一种观点，即常规凝血检查在鼻出血患者中似乎没有作用。应在临床有指征时，并在必要时与血液科会诊，对潜在的止血障碍进行检查。
