Corbridge R J, Djazaeri B, Hellier W P, Hadley J
ENT Department, Northwick Park Hospital, Harrow, UK.
Clin Otolaryngol Allied Sci. 1995 Aug;20(4):305-7. doi: 10.1111/j.1365-2273.1995.tb00047.x.
A prospective study was undertaken to compare the efficacy of Merocel nasal tampons to BIPP (Bismuth Subnitrate and Iodoform Paste) impregnated ribbon gauze in the control of acute epistaxis requiring hospital admission. A total of 50 patients presenting with severe epistaxis was treated with either merocel nasal tampons, or BIPP. The groups did not differ significantly in terms of age, sex distribution, aetiology or severity of the bleed. There was no significant difference in efficacy or patient tolerance of either treatment. It was concluded that Merocel nasal tampons should be considered effective in the first line treatment of severe epistaxis uncontrolled by simple measures. Their ease of insertion makes them suitable for use in the accident and emergency department or in general practice.
开展了一项前瞻性研究，以比较美罗赛鼻腔填塞物与含次硝酸铋和碘仿糊剂（BIPP）的带状纱布在控制需要住院治疗的急性鼻出血方面的效果。共有50例严重鼻出血患者接受了美罗赛鼻腔填塞物或BIPP治疗。两组在年龄、性别分布、出血病因或严重程度方面无显著差异。两种治疗方法在疗效或患者耐受性方面均无显著差异。得出的结论是，美罗赛鼻腔填塞物应被视为对简单措施无法控制的严重鼻出血进行一线治疗的有效方法。其易于插入的特点使其适用于急诊科或全科医疗。
