Pau H W, Zanella F E, Kehrl W
Universitätskrankenhaus Hamburg-Eppendorf.
Laryngorhinootologie. 1994 May;73(5):282-6. doi: 10.1055/s-2007-997131.
In cases of severe bleeding of the nose, besides sufficient packings further steps like surgical exploration and closure of vessels like maxillary or ethmoidal arteries or even the external carotid artery are described in most textbooks. Superselective angiographical embolisation is also mentioned, mostly as an alternative method, while often pointing out the danger of severe thromboembolic complications. In the last two years, we had excellent experiences with this method in 15 cases, without any of the complications mentioned above. We do feel that attempts at superselective angiological embolisation should be made prior to surgical intervention. Of course, technical and personal prerequisites must be adequately met besides excellent individual experience in interventional angiography.
在严重鼻出血的病例中，除了充分填塞外，大多数教科书中还描述了进一步的措施，如手术探查和封闭上颌动脉、筛动脉甚至颈外动脉等血管。超选择性血管造影栓塞术也被提及，大多作为一种替代方法，同时经常指出严重血栓栓塞并发症的风险。在过去两年中，我们在15例患者中使用这种方法取得了很好的效果，没有出现上述任何并发症。我们确实认为，在进行手术干预之前，应尝试进行超选择性血管造影栓塞术。当然，除了在介入血管造影方面有出色的个人经验外，还必须充分满足技术和人员方面的先决条件。
