Chen Y H, Chen J Y, Hsu C S, Huang C T, So E
Department of Anesthesiology, Chi-Mei Foundation Hospital, Tainan, Taiwan, R.O.C.
Acta Anaesthesiol Sin. 1996 Jun;34(2):93-6.
Epistaxis is one of the common complications of nasotracheal intubation. Clinical patterns of all nasal bleeding are mild and may stop spontaneously in most patients. Serious nasal bleeding requiring hospitalization are rare. Nasal bleeding occurs more frequently in children than in adults. Among adults, men have a higher incidence than women. Although numerous publications have reported the cases of initial epistaxis caused by nasotracheal intubation, recurrent epistaxis was reported rarely. We experienced a case of recurrent epistaxis occurring in the 6th, 8th, 15th and 18th day after nasotracheal intubation. Herein, we describe the clinical events and discuss the causes of epistaxis.
鼻出血是鼻气管插管的常见并发症之一。所有鼻出血的临床症状均较轻，大多数患者的鼻出血可能会自行停止。需要住院治疗的严重鼻出血很少见。鼻出血在儿童中比在成人中更频繁发生。在成人中，男性的发病率高于女性。尽管有大量文献报道了鼻气管插管引起的初次鼻出血病例，但复发性鼻出血的报道很少。我们遇到了一例在鼻气管插管后第6天、第8天、第15天和第18天发生复发性鼻出血的病例。在此，我们描述临床事件并讨论鼻出血的原因。
