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血液病病人鼻出血的部位及其治疗方法探讨

BLEEDING POINTS OF EPISTAXIS IN PATIENTS WITH HEMATOLOGIC DISEASES AND TREATMENT
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摘要 目的探讨血液病病人发生鼻出血的部位及治疗对策。方法对我院血液科2006—2012年48例发生鼻出血病人的临床资料进行回顾性分析。结果鼻出血部位为:Litte区出血23例,鼻腔弥漫性出血16例,下鼻甲出血8例,鼻后孔出血1例。48例病人中除1例不能有效止血外,其余47例根据不同出血特点,采取局部压迫填塞结合全身治疗均有效止血,总有效率98%。结论血液病病人多伴凝血功能障碍,在治疗其鼻出血时根据出血部位、出血量的不同,采取不同的填塞方法,并与全身治疗相结合可取得较满意的效果。 Objective To investigate the locations of nasal hemorrhage in patients with hematologic diseases and the treatment. Methods A retrospective review was done for clinical data of 48 patients with nasal bleeding treated in Department of Hematology of our hospital during 2006-2012. Results The locations of bleeding were noted in Litte' s (23 cases), diffuse hemorrhage in nasal cavity (16 cases), inferior turbinate (eight cases) and posterior naris (one case). Of the 48 cases, excepted one, the bleeding was effectively controlled by combined local compression and plugging with systemic therapy, the total effective rate reached 98%. Conclusion More patients with hematologic diseases are commonly accompanied with coagulation disorders. In the treatment of nasal bleeding, a different packing method combined with systematic therapy can get a satisfactory result.
出处 《齐鲁医学杂志》 2013年第6期535-536,共2页 Medical Journal of Qilu
关键词 血液病 鼻出血 治疗 hematologic diseases epistaxis therapy
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