| 鼻咽癌放疗后鼻咽出血原因分析 |
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| 引用本文： | 张剑利,王跃建,陈伟雄. 鼻咽癌放疗后鼻咽出血原因分析[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(9) |
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| 作者姓名： | 张剑利 王跃建 陈伟雄 |
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| 作者单位： | 中山大学附属佛山医院耳鼻咽喉科,广东佛山,528000 |
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| 摘 要： | 目的:探讨鼻咽癌放疗后鼻咽部出血的原因。方法:回顾性分析70例因鼻咽癌放疗后鼻咽出血住院患者的出血原因。结果:70例患者中,由鼻咽癌复发引起鼻咽出血24例(34.3%),其中7例因大出血死亡;10例(14.3%)由假性动脉瘤引起,其中3例鼻咽大出血死亡;36例(51.4%)为鼻咽放疗后痂皮及肉芽出血,1例因大出血窒息死亡。结论:鼻咽癌放疗后鼻咽部出血是死亡率高的放疗并发症,其中以鼻咽癌复发及假性动脉瘤危险性最高,鼻咽癌放疗后痂皮及肉芽要积极处理。
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| 关 键 词： | 鼻咽肿瘤 放射治疗 鼻咽出血 |
Cause of epistaxis in patients irradiated for nasopharyngeal carcinoma |
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| ZHANG Jianli,WANG Yuejian,CHEN Weixiong. Cause of epistaxis in patients irradiated for nasopharyngeal carcinoma[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2010, 24(9) |
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| Authors: | ZHANG Jianli WANG Yuejian CHEN Weixiong |
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| Affiliation: | Department of Otorhinolaryngology-Head and Neck Surgery/a>;the Affiliated Foshan Hospital of Sun Yet-sen University/a>;Foshan/a>;528000/a>;China |
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| Abstract: | Objective:To investigate the cause of epitasis in patients irradiated for nasopharyngeal carcinoma.Method:Seventy nasopharyngeal carcinoma cases with epitasis after radiotherapy were retrospectively analyzed.Result:The causes of epitasis were local nasopharyngeal carcinoma recurrent 34.3%(24/70),pseudoaneurysm 14.3%(10/70) and nasopharyngeal crust 51.4%(36/70).Seven cases with local recurrent,3 cases with pseudoaneurysm and 1 cases with nasopharyngeal crust and osteoradionecrosis died of intractable epitasi... |
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| Keywords: | nasopharyngeal carcinoma radiotherapy epistaxis |
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