强化降压并改良填塞治疗隐蔽部位高血压鼻出血150例病例分析  

Intensive Lowering Blood Pressure and Improved Filling to Treat Hypertensive Nosebleed in Hidden Area:A Analysis of 150 Cases

作　　者：连冈[1] 陈蕙菁[2] LIAN Gang;CHEN Huijing(Department of Fumatology,Quanzhou Guangqian Hospital,Fujian Province,Quanzhou 362321,China;Department of Oncology,Quanzhou Guangqian Hospital,Fujian Province,Quanzhou 362321,China)

机构地区：[1]福建省泉州市光前医院五官科,泉州362321 [2]福建省泉州市光前医院肿瘤内科,泉州362321

出　　处：《中国医药指南》2024年第5期33-36,共4页Guide of China Medicine

摘　　要：目的探讨常规鼻内镜检查未发现明确的出血点的高血压鼻出血的有效治疗措施。方法对150例鼻内镜未发现出血点的高血压鼻出血患者,采用短期强化降压治疗,其中48例患者加用改良前鼻孔填塞法。观察鼻出血的止血治疗效果、并发症及复发情况。结果150例患者中140例一次性止血。5例拔出填塞物后再出血,重新填塞并延长填塞时间并强化降压后治愈,5例最后通过手术止血,均未出现心、脑血管等并发症。随访半年未鼻出血复发。结论短期强化降压治疗并改良前鼻孔填塞法是治疗鼻内镜难定位的高血压鼻出血的安全有效的措施。Objective To explore the effective treatment measures for hypertensive nosebleed with no clear bleeding point found by conventional nasal endoscopy.Methods For 150 patients with hypertensive nasal bleeding without bleeding points found in the nasal endoscope,The shortterm intensive antihypertensive treatment was used,of which 48 patients were treated with improved anterior nostril filling method.The hemostatic treatment effect,complications and recurrence of epistaxis were observed.Results One-time hemostasis was achieved in 140 of 150 patients.5 cases were cured after pulling out the stuffing material and then bleeding,re-filling and prolonging the filling time and strengthening the blood pressure reduction.In 5 cases,the bleeding was finally stopped by surgery.There were no cardiovascular and cerebrovascular complications.There was no nosebleed recurrence within half-year follow-up.Conclusions Short-term intensive antihypertensive treatment and improved anterior nostril filling method are safe and effective measures to treat hypertensive nosebleeds that are difficult to locate in the nasal endoscope.

关 键 词：鼻出血 高血压 鼻腔填塞 强化降压 

分 类 号：R544.1[医药卫生—心血管疾病] R765.23[医药卫生—内科学]