Cornthwaite K, Varadharajan K, Oyarzabal M, Watson H
Department of Otorhinolaryngology, Medway Maritime Hospital, Gillingham, UK.
J Laryngol Otol. 2013 Aug;127(8):811-3. doi: 10.1017/S0022215113001576. Epub 2013 Jul 30.
To report a case of life-threatening epistaxis in a pregnant patient, describe the links between pregnancy and epistaxis, and discuss the management of such cases. Life-threatening epistaxis in pregnancy is rare, and there are no specific evidence-based guidelines regarding the management of these patients.
A 31-year-old primigravida presented with severe epistaxis in the second trimester of her pregnancy. Conservative measures failed, thereby necessitating surgical intervention.
This case illustrates the importance of a multidisciplinary approach in the management of a pregnant patient presenting with severe epistaxis, and highlights the surgical challenges presented in such a situation.
报告一例妊娠患者出现危及生命的鼻出血病例,描述妊娠与鼻出血之间的联系,并讨论此类病例的处理方法。妊娠期间危及生命的鼻出血较为罕见,且对于这些患者的处理尚无基于具体证据的指南。
一名31岁初产妇在妊娠中期出现严重鼻出血。保守治疗失败,因此需要进行手术干预。
本病例说明了多学科方法在处理妊娠合并严重鼻出血患者中的重要性,并突出了这种情况下所面临的手术挑战。