Wang Y, Zhao Y L
Department of Rhinology, the First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Dec;30(23):1888-1891;1895. doi: 10.13201/j.issn.1001-1781.2016.23.013.
To explore the best method to cure nasal bleeding based upon the patients age, complications, bleeding reasons, bleeding site. A retrospective study of 872 patients with a diagnosis of nasal bleeding in our hospital.The location of bleeding was determined according to the specialized examination,nasal endoscopy and surgical exploration, and the reasons of epistaxis and its characteristics were also analyzed according to the history, biochemical examination, physical examination, imaging examination. The case number significantly increased with age. The main reason for nasal bleeding were deviation of nasal septum, hypertension, taking anticoagulant drugs, vascular tumor and diabetes mellitus. The main bleeding sites are the unknown parts, the olfactory cleft, little area, meatus nasi inferior, basis nasi and spur. The main methods for the treatment of nosebleed are endoscopic surgery and nasal packing. Because of the different nasal bleeding reasons and bleeding sites among individuals, individualized treatment methods are required to cure nasal bleeding. With the advantages of the clear vision, accurate location, fast stop bleeding,endoscopic method has become the first treatment for nosebleed.
根据患者年龄、并发症、出血原因及出血部位，探索治疗鼻出血的最佳方法。对我院872例诊断为鼻出血的患者进行回顾性研究。根据专科检查、鼻内镜检查及手术探查确定出血部位，并根据病史、生化检查、体格检查、影像学检查分析鼻出血的原因及其特点。病例数随年龄显著增加。鼻出血的主要原因是鼻中隔偏曲、高血压、服用抗凝药物、血管肿瘤和糖尿病。主要出血部位为不明部位、嗅裂、小区域、鼻下道、鼻底和棘突。治疗鼻出血的主要方法是内镜手术和鼻腔填塞。由于个体鼻出血原因和出血部位不同，需要采用个体化治疗方法来治愈鼻出血。内镜方法具有视野清晰、定位准确、止血迅速等优点，已成为鼻出血的首选治疗方法。
