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来自异常后筛动脉的复发性大量鼻出血。

Recurrent Massive Epistaxis from an Anomalous Posterior Ethmoid Artery.

作者信息

Greco Marco Giuseppe, Mattioli Francesco, Alberici Maria Paola, Presutti Livio

机构信息

Unità Operativa Complessa di Otorinolaringoiatria, Azienda Ospedaliero-Universitaria Policlinico di Modena, Italy Via del Pozzo 71, 41124 Modena, Italy.

出版信息

Case Rep Otolaryngol. 2016;2016:8504348. doi: 10.1155/2016/8504348. Epub 2016 Nov 29.

DOI:10.1155/2016/8504348
PMID:28025632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5153481/
Abstract

A 50-year-old man, with no previous history of epistaxis, was hospitalized at our facility for left recurrent posterior epistaxis. The patient underwent surgical treatment three times and only the operator's experience and radiological support (cranial angiography) allowed us to control the epistaxis and stop the bleeding. The difficult bleeding management and control was attributed to an abnormal course of the left posterior ethmoidal artery. When bleeding seems to come from the roof of the nasal cavity, it is important to identify the ethmoid arteries always bearing in mind the possible existence of anomalous courses.

摘要

一名50岁男性，既往无鼻出血病史，因左侧复发性后鼻孔出血入住我院。该患者接受了三次手术治疗，仅凭借术者的经验及影像学支持（头颅血管造影）才得以控制鼻出血并止血。出血的困难处理和控制归因于左侧后筛窦动脉走行异常。当出血似乎来自鼻腔顶部时，始终牢记可能存在的异常走行来识别筛窦动脉非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/a90d517e151a/CRIOT2016-8504348.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/fdcfee05daa0/CRIOT2016-8504348.001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/128c2ee8ef64/CRIOT2016-8504348.005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/856062935f39/CRIOT2016-8504348.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/a90d517e151a/CRIOT2016-8504348.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/fdcfee05daa0/CRIOT2016-8504348.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/10f9a9eca558/CRIOT2016-8504348.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/db13ed4e06ce/CRIOT2016-8504348.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/8647ce8b2607/CRIOT2016-8504348.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/128c2ee8ef64/CRIOT2016-8504348.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/bd0d1009ff50/CRIOT2016-8504348.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/856062935f39/CRIOT2016-8504348.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef8e/5153481/a90d517e151a/CRIOT2016-8504348.008.jpg

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