严重创伤性鼻出血的急诊救治

目的　总结严重创伤性鼻出血的急诊救治经验。方法　对 1987～ 2 0 0 1年我院收治的严重创伤性鼻出血 336例进行回顾性分析。所有病例经鼻腔或前后鼻孔填塞止血或出血减少 ,对损伤血管较大或经反复填塞止血无效者 ,采用血管结扎或栓塞术等止血措施。结果　本组病例均达到止血目的 ,但仍因严重颅脑伤或颈、胸、腹等合并伤死亡 4 2例 (12 .5 % )。结论　创伤性鼻出血是一种复杂的危急重症 ,首诊医师应具备综合的急诊救治能力 ,各科需密切配合 ,以降低死亡率

Emergency management of patient with severe traumatic epistaxis

Objective To summarize the experience in emergency management of patient with severe epistaxis due to trauma.?Methods Clinical data of 336 cases with severe traumatic epistaxis between 1987 2001 treated in our hospital were analyzed retrospectively. In all patients, bleeding was controlled by nasal cavity packing or by anterior posterior packing in the first instance. Then,for patient with larger artery injury or uncontrollable nasal bleeding,various hemostatic procedures including ligation or embolization of arteries were performed.?Results In all cases,nasal bleeding were checked,but 42 of them (12.5%) died of severe brain,neck,chest,or abdomen injury.?Conclusion Patient of severe traumatic epistaxis is a complicated emergency. The doctor who first see the patient must master comprehensive first aid method and diagnosis. Co operation of clinical departments is important,so as to reduce the mortality.