Department of ENT, Wexham Park Hospital, Slough, SL2 4HL, UK.
Eur Arch Otorhinolaryngol. 2013 Jul;270(7):2039-43. doi: 10.1007/s00405-012-2318-7. Epub 2012 Dec 20.
This study aims to provide guidance regarding patient selection and timing of intervention with sphenopalatine artery (SPA) ligation by defining 'severe epistaxis'. An analysis of all patients undergoing SPA ligation (January 2002-2010) was performed. SPA ligation was deemed necessary if at least one of the four identified criteria was fulfilled. The same analysis was also performed on all patients admitted with epistaxis who did not undergo SPA ligation over a 6-month period. All 27 patients who underwent SPA ligation met at least one of the criteria selected. Uncontrolled epistaxis (21/27) was fulfilled most often. In comparison, only 4/71 patients admitted with epistaxis who did not undergo SPA ligation fulfilled any single criterion. All criteria were satisfied in a significantly higher number of cases in the SPA group (p < 0.001) The criteria studied proved helpful in identifying patients admitted to hospital with epistaxis who had failed conservative measures.
本研究旨在通过定义“严重鼻出血”，为蝶腭动脉（SPA）结扎术的患者选择和干预时机提供指导。对 2002 年 1 月至 2010 年间所有接受 SPA 结扎术的患者进行了分析。如果满足以下四项确定标准中的至少一项，则认为有必要进行 SPA 结扎术。在随后的 6 个月内，对所有因鼻出血入院但未接受 SPA 结扎术的患者也进行了相同的分析。所有接受 SPA 结扎术的 27 例患者均符合所选标准中的至少一项。最常满足的标准是未控制的鼻出血（21/27）。相比之下，在未接受 SPA 结扎术的 71 例因鼻出血入院的患者中，只有 4 例符合任何单一标准。在 SPA 组中，所有标准都满足的情况明显更多（p < 0.001）。研究中的标准有助于确定因保守治疗失败而住院的鼻出血患者。
