鼻出血并酒精戒断综合征1例  

One case of epistaxis and alcohol withdrawal syndrome

作　　者：程波[1,2] 张志茂[1,2] 裴智[1,2] 黄子斌[1,2] 魏金凤[1,2] 

机构地区：[1]三峡大学第一临床医学院 [2]宜昌市中心人民医院耳鼻咽喉头颈外科,湖北宜昌443003

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第2期139-140,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：患者,男,50岁,因＂间断右鼻出血2d＂入院。入院后,前鼻镜检查未见出血部位,咽后壁可见活动性血流,且患者精神紧张,不能配合鼻内镜检查,遂局部麻醉下行右侧后鼻孔栓塞加右前鼻孔填塞,填塞后无活动性渗血。既往史：饮酒史35年,早、中、晚餐均饮酒（酒精度60%~70%vol）,每天饮酒总量在500ml左右。入院后查血常规、出凝血时间、肝肾功能均未见异常,予抗炎、止血对症治疗。拟72h后开始逐步抽取前鼻孔填塞纱条。第3天晨查房时,患者诉＂右侧后鼻孔有流水声,持续时间约10s,发作较频繁＂,并强调一直能听见该声音。Summary The patient with long history of alcohol was admitted because of intermittent right nasal bleeding for two days,and treated by nasal packing. After 3 days, the patient exhibited auditory hallucinations and immedi- ately showed rage, mania, sweating and fever. CT examination showed calcification in the right frontal lobe, brain atrophy and sinusitis. Diagnosis： epistaxis and alcohol withdrawal syndrome, deviated septum, sinusitis.

关 键 词：鼻出血 酒精依赖 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]