鼻内镜术后迟发性鼻出血的原因和治疗  

Etiology and treatment of delayed epistaxis after endoscopic surgery

作　　者：韩红蕾[1] 王成元[1] 刘剑锋[1] 李原[1] 王娜亚[1] 杨大章[1] 

机构地区：[1]卫生部中日友好医院耳鼻咽喉科,北京100029

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第20期925-928,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨鼻内镜术后迟发性鼻出血的原因和治疗方案。方法:回顾性分析因鼻内镜术后鼻出血入院的11例患者,对其出血诱因、鼻内镜术式、出血时间、出血部位和治疗过程进行比较和总结,寻找规律,探讨内在的机制。结果:11例患者中,出血诱因不同,部位不同,经不同的治疗均达到了止血的目的。结论:鼻内镜术后迟发性鼻出血不容忽视,有一定的诱因,鼻内镜术式可能与出血部位有关,其治疗以鼻内镜下探查出血点后,给予相应治疗,效果较好。必要时行血管栓塞术。Objective：To evaluate the etiology and management of delayed epistaxis after endoscopic surgery.Method：To retrospectivly analyze the clinical data of 11 cases for epistaxis after nasal endoscopic surgery.To compare their precipitating factors,their surgical approach,time and site of bleeding and management in order to find the intrinsic rules.Result：The precipitating factors,bleeding sites and treatments varied among patients.Conclusion：Delayed epistaxis after endoscopic surgery can not be neglected.There may be some precipitating factors.The surgical approach may be related to the bleeding site.It is better to treat the epistaxis using the endoscope to explore the bleeding site and to give corresponding intervention.

关 键 词：鼻出血 鼻内镜术 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]