鼻咽癌放疗后大出血16例报告  

Analysis of 16 Cases With Nasopharyngeal Carcinoma With Intractable Epistaxis after Radiotherapy

作　　者：蔡明伟[1] 卢军[1] 杜驰[1] 

机构地区：[1]内江市第二人民医院肿瘤中心,四川内江641003

出　　处：《川北医学院学报》2005年第2期175-176,共2页Journal of North Sichuan Medical College

摘　　要：目的探讨鼻咽癌放疗后鼻咽部大出血的相关因素及抢救措施。方法对16例鼻咽癌行放疗后出现大出血的相关因素进行分析及抢救方法(前后鼻孔填塞、手术止血、数字减影血管造影检查)进行总结。结果鼻咽部大出血发生在首程治疗4例(25%),复发再治者12例(75%);4例抢救无效于当日死亡,7例大出血未能控制,在1～3天内死亡,5例抢救成功,但2年内相继死亡。结论鼻咽癌放疗后大出血发生在鼻咽部肿瘤复发者最多,与颅底骨质破坏关系密切,出血凶猛死亡率高,DSA检查和动脉栓塞是诊治鼻咽癌放疗后大出血的一种安全有效的新方法。Objective To explore intensive and critical care on intractable epistaxis in patients with nasopharyngeal cancer after radiotherapy. Methods 16 cases with nasopharyngeal cancer complicated by intractable epistaxis after radiotherapy were analysed . cared (filling up pre- and post-nasoforamin, prenasal field irradiation, surgery to stop bleeding and digital substraction angiography) were smmnarized. Result Among them 75% recurred and received the second treatment. 4 cases were not saved successfully and died in 24 hours, 7 cases with intractable epistaxis couldn’t be controled and died in 1-3days ,5 cases were saved successfully, but died in 2 years one after another. Conclusion Intractable epistaxis has a close correlation with tumor to destruct cranial bones .Once it happens,the patients will be in danger and the death rate is quite high. Digital substraction angiography is a safe and effective method to stop epistaxis

关 键 词：鼻咽癌 放射治疗 鼻咽大出血 数字减影血管造影检查 

分 类 号：R739.62[医药卫生—肿瘤]