235例鼻衄病因和出血部位的临床分析

<title>Clinical Study of 235 Cases with Nasal Bleeding Patients

本文对235例鼻衄患者的病因和出血部位按发生月份进行统计分析,发现鼻衄以局部病因出血居多。局部病因以鼻中隔粘膜糜烂致左侧克氏区出血居多;全身病因则以高血压及动脉硬化致中甲以下,部位不明,多部位出血居多。45岁以下鼻衄发生在克氏区以局部病因(尤其鼻中隔粘膜糜烂)为多,45岁以上鼻衄发生在鼻腔后部、多部位者以全身病因(尤其高血压及动脉硬化)为多。

<abstract>5 cases of clmical patients, male 155,female 80, suffierlng from epistaxia were analyzed.48.43%Of the patients were aged over 40. As to the seasonal distribution of the cases of epistaxias, they were more conunonly seen in Jannary, Febmary and July. Little's area was most common site Of bleeding. 25. 4%Of the cases were with cardiovascular disorders, 20.1%with nasal tumours and 15. 1%nasoseptal diseases, 11. 1%Of the bleeding cause remained unknown. A number Of measures have been used to control bleeding. Freezing by Cryosurgery is a new Development. In severe cases blcod transfusion is also important. Application of arterial ligature has to be careful. The way of handle the nasal bleeding patients deserves further study.