以鼻出血为首发症状的颈内动脉瘤1例  

Internal carotid artery aneurysms with the initial symptom of epistaxis:a case report

作　　者：吴海燕[1] 陈金湘[1] 朱海[1] 周宁霞[1] 

机构地区：[1]江苏省江阴市人民医院耳鼻咽喉科,江苏江阴214400

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第8期665-666,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：患者,女,42岁,因左鼻间断出血15d,加重1d,于2015年1月8日入院。患者入院前有两次左鼻出血,均为凌晨五点多,每次出血量大,自诉约三四十毫升,口腔、鼻腔同时出血,出血能自止。否认外伤及手术史,否认高血压、The patient has complained of twice left nose bleeding.Nasal endoscope examination found bloodstain in recessus sphenoethmoidalis,while nasal sinuses MR examination showed moderate and slightly high signal in left sphenoid sinus on T1 WI and T2 WI.Then,she was underwent nasal endoscopic surgery to stop bleeding.A dark red,pulsating tissue was found above the lateral wall of the sphenoid sinus during the surgery.After the surgery,the patient did a cerebral digital vascular angiography and the diagnosis was internal carotid artery aneurysms rupture.

关 键 词：鼻出血 动脉瘤 内镜检查 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]