加强型气管插管气囊压迫填塞止血治疗鼻腔后部出血  

Observation on Hemostasis Efficacy of Pediatric Reinforced Endotracheal Intubation in Treatment of Posterior Nasal Cavity Bleeding with Balloon Occlusion in Adult Patients

作　　者：潘秀云 李月光 

机构地区：[1]大厂回族自治县人民医院耳鼻咽喉科,河北大厂回族自治县065300

出　　处：《临床误诊误治》2015年第1期98-100,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨加强型气管插管气囊压迫填塞止血治疗成人鼻腔后部出血的效果。方法选择我院急诊成人鼻腔后部出血78例,随机均分为观察组和对照组。观察组采用小儿加强型气管插管插入患侧鼻腔达后鼻孔,前端气囊充气压迫止血;对照组采用常规后鼻孔填塞法止血。比较两组填塞后72 h止血效果,撤除填塞物后鼻腔再出血发生率、患者疼痛程度、填塞操作时间及并发症发生情况。结果两组填塞后72 h止血效果及并发症发生率比较差异均无统计学意义(P>0.05);观察组撤除填塞物鼻腔再出血发生率低于对照组,患者疼痛程度轻于对照组,填塞操作时间短于对照组,差异均有统计学意义(P<0.05)。结论应用加强型气管插管气囊压迫填塞止血治疗成人鼻腔后部出血具有简单方便、经济有效、患者痛苦小、并发症少等特点,尤其适用于基层医院。Objective To investigate the hemostasis efficacy of pediatric reinforced endotracheal intubation in the treatment of posterior nasal cavity bleeding with balloon occlusion in adults. Methods 78 emergency cases of posterior nasal cavity bleeding were chosen. Then we randomly divided them into observation group and control group. In observation group,pediatric reinforced endotracheal intubation was inserted into the affected side of posterior nasal cavity. And then the balloon of its front was inflated to stanch bleeding. In the control group,we used conventional methods of posterior nasal cavity to stanch bleeding. We comparatively analyzed the hemostatic effect after 72 h,the incidence of rebleeding after removing the stuffing,pain degree of patients,filling operation time,and complications between the two groups. Results After the stuffing,there was no difference of statistical significance between the two groups on hemostatic effect and the incidence of complications in72 h（P〉0.05）,but when the stuffing was removed,there were significant differences between the two groups（P〈0.05）.The observation group was lower than the control group in the incidence rates of rebleeding,pain degree of patients and filling operation time. Conclusion Pediatric reinforced endotracheal intubation to stanch bleeding in the emergency treatment of posterior nasal cavity bleeding in adults is simple,convenient,economical,effective and less painful with less complications.It is more suitable to be used in small local hospitals.

关 键 词：鼻出血 气管插管 气囊阻塞 成年人 

分 类 号：R765.23[医药卫生—耳鼻咽喉科] R472.9[医药卫生—临床医学]