鼻腔后份出血诊治探讨

目的:探讨鼻腔后份出血(PNE)的诊断和治疗。方法:对46例FNE患者临床资料进行回顾性分析。结果:主要表现为吐血及前鼻孔出血。鼻腔后份位置深在,普通额镜下明确出血部位6例;鼻内窥镜下明确出血部位40例。全部病例行技巧性前鼻孔填塞止血(ANP),出血完全控制42例(91.3％),出血减轻4例(8.7％),有效率达100％,对4例减轻者行鼻内窥镜下微波热凝止血,均治愈。结论:对严重口吐血液表现的鼻出血患者,应首先考虑PNE,立即行鼻内窥镜检查以明确出血部位。技巧性ANP为一简便有效止血方法,可首选,鼻内窥镜下微波热凝责任血管,止血可靠。

The Diagnosis and Treatment of Posterior Nasal Epistaxis

Objective:To study the diagnosis and treatment of posterior nasal epistaxis(PNE) .Method:The clinical data were analysed in 46 cases with PNE.Results: It was difGcult to find the PNE under head mirror.40 patients were diagnosed as PNE under nasal endoscope. All cases were treated by suitable anterior nasal packing (ANP) .From them 42 cases(91.3%) were controlled completely and 4 cases (8.7%) were improved.The Latter were cured with microwave therapy under nasal endoscope at last. Conclusion: The nose bleeding from oral cavity is the importment sign of patient with PNE. The suitable ANP is a simple and effective therapy and is the first method selected for the cases. It was certain to find bleeding vessels with the aid of a nasal endoscope and stop uncontrollable epistaxis by microwave therapy.