214例顽固性鼻出血的临床分析  

Clinical Analysis of 214 Intractable Epistaxis Cases

作　　者：陈勇挺[1] 徐夏[1] 叶伟雄 陈国强[1] 汪建[1] 

机构地区：[1]广州军区广州总医院耳鼻咽喉科,广东广州510010 [2]南方航空体检中心

出　　处：《华南国防医学杂志》2016年第6期379-381,共3页Military Medical Journal of South China

摘　　要：目的探讨顽固性鼻出血的发病特点和临床治疗策略。方法回顾分析214例顽固性鼻出血患者的病历资料及诊治情况。结果青少年患者多伴有鼻部疾病(85.3%),春夏季发病率高(77.9%);中老年患者多伴有全身基础疾病(78.1%),秋冬季发病率高(71.9%)。185例患者可在内镜下找到明确出血点(86.4%),其好发位置大多在后鼻孔区(41.6%);大部分患者应用电凝既可止血(56.1%)。结论顽固性鼻出血的发病有年龄和季节特点,大部分患者的出血点都能在鼻内镜下找到,在内镜下应用电凝烧灼止血具有成功率高、创伤小、费用低等优点。Objective To investigate the clinical characters and treatment strategies of intractable epistaxis. Methods Clinical characteristics and treatments were analyzed retrospectively in 214 patients with intractable epistaxis. Results Young patients were prone to disease in spring and summer （77. 9%）, and most of them had nasal local diseases （85.3%）. Middle and old age patients had high incidence rate in autumn and winter （71.9%） with more basic diseases （78.1%）. Haemorrhage were identified with endoscope in 185 cases（86. 4%）. The posterior nasal region （41.6%） was the most common bleeding site. Most of patients were treated with electrocoagulation successfully （56. 1%）. Conclusion The characteristics of nasal bleeding are related to age and season. Most haemorrage can be found with endoscopic exploration. Electrocoagulation under the endoscope can achieve excellent results with minimal invasion and complications.

关 键 词：鼻出血 鼻内镜 临床疗效 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]