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国际性鼻出血实用管理调查。

An International Survey on the pragmatic management of epistaxis.

机构信息

International Federation ORL Societies (IFOS).

DMG Medical Department, Pomezia (Rome), Italy.

出版信息

Acta Biomed. 2020 Feb 17;91(1-S):5-10. doi: 10.23750/abm.v91i1-S.9241.

DOI:10.23750/abm.v91i1-S.9241
PMID:32073555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7947736/
Abstract

Epistaxis is one of the most common ear, nose and throat emergencies. The management of epistaxis has evolved significantly in recent years, including the use of nasal cautery and packs. However, a correct treatment requires the knowledge of nasal anatomy, potential risks, and complications of treatment. Epistaxis is often a simple and readily treatable condition, even though a significant bleed may have potentially severe consequences. At present, there are very few guidelines concerning this topic. The current Survey explored the pragmatic approach in managing epistaxis. A questionnaire, including 7 practical questions has been used. The current International Survey on epistaxis management reported a relevant prevalence (21.7%), mainly during childhood and senescence, an important hospitalization rate (11.8%), the common use of anterior packing and electrocoagulation, and the popular prescription of a vitamin supplement and intranasal creams.

摘要

鼻出血是耳鼻喉科最常见的急症之一。近年来,鼻出血的治疗方法有了很大的发展,包括使用鼻腔烧灼和填塞。然而,正确的治疗需要了解鼻腔解剖结构、潜在风险和治疗并发症。鼻出血通常是一种简单且易于治疗的疾病,尽管大量出血可能会产生严重的后果。目前,关于这个问题的指南非常少。本调查研究旨在探讨处理鼻出血的实用方法。采用了包括 7 个实际问题的问卷。目前,国际鼻出血管理调查显示了相关的患病率(21.7%),主要发生在儿童和老年时期,以及较高的住院率(11.8%),常见的治疗方法是前鼻腔填塞和电凝,以及常用的维生素补充剂和鼻腔乳膏处方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/e1cf12ab9d8f/ACTA-91-5-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/c8d1c3bc099f/ACTA-91-5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/2ddf647457fe/ACTA-91-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/e3f46abc7698/ACTA-91-5-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/e1cf12ab9d8f/ACTA-91-5-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/c8d1c3bc099f/ACTA-91-5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/2ddf647457fe/ACTA-91-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/e3f46abc7698/ACTA-91-5-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6660/7947736/e1cf12ab9d8f/ACTA-91-5-g004.jpg

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2
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本文引用的文献

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Management of idiopathic epistaxis in adults: what's new?成人特发性鼻出血的管理:有哪些新进展?
Acta Otorhinolaryngol Ital. 2019 Aug;39(4):211-219. doi: 10.14639/0392-100X-2155. Epub 2019 Mar 25.
2
Current Approaches to Epistaxis Treatment in Primary and Secondary Care.初级和二级保健中鼻出血治疗的当前方法。
Dtsch Arztebl Int. 2018 Jan 8;115(1-02):12-22. doi: 10.3238/arztebl.2018.0012.
3
Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review.用于成人鼻出血治疗的鼻内填塞物和止血剂:系统评价
某医学院校医学生鼻出血急救处理知识:一项描述性横断面研究
JNMA J Nepal Med Assoc. 2024 Apr 30;62(273):327-331. doi: 10.31729/jnma.8580.
4
Clinical Presentation and Treatment Patterns of Pediatric Epistaxis: A Single-Center Study.小儿鼻出血的临床表现及治疗模式:一项单中心研究
Cureus. 2024 Feb 16;16(2):e54309. doi: 10.7759/cureus.54309. eCollection 2024 Feb.
5
Multicenter Epidemiological Study of Nosebleeds Requiring Hospitalization.鼻出血需住院治疗的多中心流行病学研究
Curr Health Sci J. 2023 Jul-Sep;49(3):403-408. doi: 10.12865/CHSJ.49.03.13. Epub 2023 Sep 30.
6
Knowledge and awareness of aetiological and risk factors as determinants of health-seeking pattern of parents of children with epistaxis in a tertiary health institution: A 7-year prospective study.知识和对病因及风险因素的认识是决定三级医疗机构儿童鼻出血患者父母求医模式的因素:一项为期 7 年的前瞻性研究。
Afr J Paediatr Surg. 2023 Jul-Sep;20(3):211-217. doi: 10.4103/ajps.ajps_3_22.
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Green hemostatic sponge-like scaffold composed of soy protein and chitin for the treatment of epistaxis.由大豆蛋白和几丁质组成的绿色止血海绵状支架用于治疗鼻出血。
Mater Today Bio. 2022 Apr 30;15:100273. doi: 10.1016/j.mtbio.2022.100273. eCollection 2022 Jun.
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The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis.英国鼻科学会关于鼻出血医院管理的多学科共识建议。
J Laryngol Otol. 2017 Dec;131(12):1142-1156. doi: 10.1017/S0022215117002018.
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Otolaryngol Head Neck Surg. 2017 Dec;157(6):921-927. doi: 10.1177/0194599817721445. Epub 2017 Jul 25.
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Eur Ann Otorhinolaryngol Head Neck Dis. 2017 May;134(3):191-193. doi: 10.1016/j.anorl.2016.09.009. Epub 2016 Oct 17.
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