DAS Soumitra, Mohammed Shabna, Doval Nimisha, Kartha Arjun
Dept. of Psychiatry, Govt. T D Medical College, Alappuzha, Kerala, India.
Dr. Somervell Memorial CSI Medical College, Karakonam, Kerala, India.
Shanghai Arch Psychiatry. 2017 Apr 25;29(2):120-123. doi: 10.11919/j.issn.1002-0829.216063.
Epistaxis or nasal bleeding is a common condition which may be severe enough to warrant an urgent medical or surgical treatment. Factitious epistaxis is a rare entity. Due to a lack of exposure in complex behavioral issues during undergraduate training, it is quite natural on the part of a surgeon to miss the underlying emotional phenomena. Here, we present a case of factitious disorder which presented to the surgical causality with nasal bleeding. After proper evaluation and liaison with the department of otorhinolaryngology, we were able to manage the patient with antidepressants and cognitive behavioral therapy.
鼻出血是一种常见病症，严重时可能需要紧急药物或手术治疗。人为性鼻出血是一种罕见情况。由于本科培训期间缺乏对复杂行为问题的接触，外科医生很自然地会忽略潜在的情绪现象。在此，我们报告一例因鼻出血就诊于外科急诊的人为性障碍病例。经过适当评估并与耳鼻喉科联络后，我们使用抗抑郁药和认知行为疗法对该患者进行了治疗。
