Doyle D E
Laryngoscope. 1986 Mar;96(3):279-81. doi: 10.1288/00005537-198603000-00008.
Epistaxis is the second most common cause of spontaneous bleeding. Of the two categories of epistaxis, mundane and severe, the mundane, usually anterior epistaxis, is the more common. It has been reported that 60% of individuals report at least one episode of epistaxis during their lifetime. Eighty percent of epistaxis occurs in Kiesselbach's plexus, a vascular network in the anterior portion of the nasal septum. We have designed a nasal tampon to control this common variety of epistaxis which is a fast, efficient, and cost-effective method of anterior epistaxis control. The material used in the manufacture of the device (MerocelTM) has been used for over 5 years by the author, both in treatment of severe epistaxis and as a postoperative nasal packing. The design presented here has been used for anterior epistaxis for 18 months without untoward sequelae and with universal success.
鼻出血是自发性出血的第二大常见原因。鼻出血分为普通型和严重型两类，其中普通型（通常为前部鼻出血）更为常见。据报道，60%的人在一生中至少经历过一次鼻出血。80%的鼻出血发生在鼻中隔前部的血管网络——克氏静脉丛。我们设计了一种鼻填塞物来控制这种常见类型的鼻出血，这是一种快速、有效且经济高效的控制前部鼻出血的方法。该装置（美罗卡因TM）制造中使用的材料，作者已经使用了5年多，既用于治疗严重鼻出血，也用作术后鼻腔填塞物。这里介绍的设计已用于前部鼻出血治疗18个月，没有出现不良后遗症，且普遍取得成功。
