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面部、面颅骨、颈部及中耳区域的出血与止血(作者译)

[Haemorrhage and haemostasis in face, visceral cranium, neck and middle ear region (author's transl)].

作者信息

Kornmesser H J

出版信息

Arch Otorhinolaryngol. 1978 Apr 20;219(1):209-83. doi: 10.1007/BF00456579.

Abstract

Head and neck surgery is accompanied by more or less heavy tendency to bleed. Spontaneous bleeding will occur, because of general and local peculiarities depending on the vascularisation of this region. The general part of the paper deals with normal haemostasis and the diagnosis of haemorrhagic diathesis. This part also shows simple surgical measures in order to stop bleeding. The special section of the paper explains bleeding problems by case history. Here mainly complications are shown exceedingly imporant to the ENT Doctor, because of their more common frequency i.e. nose-bleeding, adenotonsillextomy as well as alarming haemorrhage from great vessels of the neck (arrosion bleeding of the carotid artery, lesion due to accidents and following necksurgery).

摘要

头颈外科手术或多或少都有出血倾向。由于该区域血管分布的一般和局部特点,会发生自发性出血。本文的一般部分论述正常止血和出血素质的诊断。这部分还介绍了简单的手术止血措施。本文的特殊部分通过病例史解释出血问题。这里主要展示了对耳鼻喉科医生极为重要的并发症,因为它们发生频率较高,即鼻出血、腺样体扁桃体切除术以及颈部大血管的严重出血(颈动脉侵蚀性出血、事故及颈部手术后的损伤出血)。

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