重症鼻出血76例临床分析

目的：总结重症鼻出血的特点及治疗方法。方法：回顾分析重症鼻出血76例的临床资料。结果：重症鼻出血多发生于老年人，合并高血压病者占41％，多属于后鼻孔出血。62例施行鼻腔填塞治疗，14例施行动脉结扎术。随访1年，无并发症。结论：重症鼻出血凶涌，应及时采取鼻腔填塞对出血部位进行有效的压迫止血，鼻腔填塞失败后，要早期施行颈外动脉或(和)及筛前动脉结扎术。

Serious epistaxis :with a report of 76 cases

Objective:To investigate the characteristics and treatment for serious epistaxis. Method: The clinical data of 76 patients with serious epistaxis were retrospectively studied. Result: Serious epistaxis was most common in the old and in posterior nasal cavity.Thirty-one cases(41%) had hypertension.Sixty-two cases were successfully controlled with filled with nasoforamin,14 cases were cured by ligating artery. No complications were found in a follow-up of one year. Conclusion: Serious epistaxis is urgent and dangerous, and it should be treated by filling with nasoforamin in time, if it is fail,ligating the external carotic artery or/and anterior ethmoid artery should be performed earlier.