难治性自发性鼻出血临床分析

Abstract

目的:探讨难治性自发性鼻出血的临床特征和防治策略.方法:回顾性分析289例难治性自发性鼻出血患者的临床资料.结果:难治性自发性鼻出血有明显的季节、年龄、性别和伴随疾病特征,出血部位以鼻中隔居多,反复出血主要与出血部位不明有关.结论:控制好血压是预防难治性自发性鼻出血的关键;一旦鼻出血发生,治疗重点应放在首次治疗上;多种形式的综合治疗是治疗难治性自发性鼻出血的必要手段.

To explore the clinical characteristics and the prevention strategy of intractable spontaneous epistaxis.Two hundred and eighty-nine patients with intractable spontaneous epistaxis were retrospectively analyzed.Intractable spontaneous epistaxis was characterized by the onset season, age, sex, and the associated disease. Nasal septums were the most common sites of bleeding. Recurrent epistaxis was mainly associated with the failure of locating the bleeding sites.Control of elevated blood pressure is essential for the prevention of intractable spontaneous epistaxis. Once epistaxis occurs, the importance of the first treatment for the haemostasis should be emphasized. For the uncontrollable epistaxis, multiple interventions are necessary.