Hicks J N, Vitek G
Division of Otolaryngology/Head and Neck Surgery, University of Alabama School of Medicine, Birmingham 35233.
Laryngoscope. 1989 Oct;99(10 Pt 1):1027-9. doi: 10.1288/00005537-198210000-00010.
Posterior nasal epistaxis is a challenging problem for the otolaryngologist, particularly when patients are critically ill after significant blood loss. The purpose of this paper is to describe a new radiologic technique designed to enhance the treatment of acute nasal hemorrhage. Seven patients with posterior nasal epistaxis underwent portable, computerized, digital subtraction angiography before embolization. Results are presented, and the advantages and limitations of this approach are compared and contrasted with those of nasal packing and arterial ligation. We conclude that this new procedure permits rapid location of the bleeding source and safe, rapid placement of a maxillary arterial catheter for hemostasis by embolization.
后鼻孔鼻出血对耳鼻喉科医生来说是一个具有挑战性的问题，尤其是当患者在大量失血后病情危急时。本文的目的是描述一种旨在加强急性鼻出血治疗的新放射学技术。七名后鼻孔鼻出血患者在栓塞前接受了便携式计算机数字减影血管造影。展示了结果，并将这种方法的优缺点与鼻腔填塞和动脉结扎的优缺点进行了比较和对比。我们得出结论，这种新方法能够快速定位出血源，并安全、快速地放置上颌动脉导管以便通过栓塞止血。
