鼻内镜术后继发性严重鼻出血分析  

Severe secondary bleeding after nasal endoscopic surgery

作　　者：贺广湘[1] 刘火旺[1] 陈玉[1] 孙虹[1] 马艳红[1] 刘国辉[1] 蒋明[1] 

机构地区：[1]中南大学湘雅三医院耳鼻咽喉科,湖南长沙410013

出　　处：《中国耳鼻咽喉颅底外科杂志》2006年第2期129-131,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：教育部博士点基金资助项目(20030533006);中南大学博士创新资助项目(030639);湖南省卫生厅资助项目(B2004-069)

摘　　要：目的对6例鼻内镜手术后继发严重性出血病例进行总结分析。方法对6例出现鼻内镜手术后继发严重性出血病人的原因、临床表现、处理的经验教训进行回顾性分析。结果6例均为蝶腭动脉出血,多为术后1周左右出现,经鼻内镜下电凝止血和碘仿纱条填塞压迫后治愈。结论鼻内镜手术后可因蝶腭动脉损伤出现术后继发严重性出血,出血时间常发生在术后1周,鼻内镜下电凝止血加碘仿纱条填塞压迫是一种有效的治疗方法。Objective To analyze the severe secondary bleeding after nasal endoseopic surgery （NES）. Methods Clinical data including causes, clinical manifestation and management of six cases with severe secondary bleeding were retrospectively to analyzed. Results The reason of severe secondary bleeding was sphenopalatine artery injury occurred about one week after operation. All cases were cured by endoseopic electric coagulation hemostasis and iodoform gauze packing. Conclusion Severe secondary bleeding may occur after nasal endoseopic surgery due to sphenopalatine artery injury, bleeding often occurs about one week postoperatively. Endoscopic electric coagulation hemostasis as well as intranasal packing with is an effective method for treatment of severe secondary bleeding after nasal endoseopic surgery.

关 键 词：鼻内镜术/副作用 鼻出血/病因学 

分 类 号：R765.041[医药卫生—耳鼻咽喉科] R765.23[医药卫生—临床医学]