老年人严重鼻出血的特点及治疗体会

Feature of Serious Epistaxis in the Elderly and Its Treatment

目的探讨老年人严重鼻出血的临床特点及治疗对策。方法对1998—2007年收治的180例老年严重鼻出血患者的临床资料及诊治方法进行回顾性分析。结果本组老年人严重鼻出血有男性发病率高、冬季发病人数增加、伴随全身疾病多、鼻后部出血多、并发症多、反复出血就诊人数多等特征;经综合治疗后179例治愈,死亡1例。结论老年人严重鼻出血因动脉压或静脉压增高性疾病引起者较多见。鼻腔止血的关键是准确寻找出血部位,首次成功止血对防止再出血有重要意义。应根据患者全身情况,给予适当的、局部及全身的、多种方法的综合性治疗。

Objective To discuss the clinical feature of serious epistaxis in the elderly and the therapeutic strategy.Methods The clinical data and diagnostic and therapeutic methods of 180 cases of epistaxis handled from 1998 to 2007.Results This group of old patients were of the following features: Higher prevalence in male,increased morbidity in winter,more accompanying general diseases,more cases of posterior nasal bleeding more complications,and more cases that seek for medical care due to repeated bleeding.Throu...