儿童和青少年鼻出血的管理：避免混乱的处理方法。

Management of Epistaxis in Children and Adolescents: Avoiding a Chaotic Approach.

作者信息

Svider Peter, Arianpour Khashayar, Mutchnick Sean

机构信息

Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, 4102 St. Antoine, 5E-UHC, Detroit, MI 48201, USA.

出版信息

Pediatr Clin North Am. 2018 Jun;65(3):607-621. doi: 10.1016/j.pcl.2018.02.007.

DOI:10.1016/j.pcl.2018.02.007

PMID:29803286

Abstract

This article provides an organized foundation that facilitates the management of acute epistaxis and an understanding of features that merit further diagnostic workup. Prompt management, including measures such as holding pressure and using nasal packing, takes precedence over comprehensive diagnostic workup. Severe, recurrent, and posteriorly based bleeds should prompt consideration of alternate interventions and expert consultation.

摘要

本文提供了一个有组织的基础，有助于急性鼻出血的管理，并理解值得进一步诊断检查的特征。包括按压和使用鼻腔填塞等措施在内的及时处理，优先于全面的诊断检查。严重、复发性和后位性出血应促使考虑其他干预措施并寻求专家会诊。