高原地区难治性鼻出血病例分析

Clinical features and prevention of refractory nasal bleeding in plateau area

目的研究高原地区难治性鼻出血的发病特点,为当地开展鼻出血的防治提供依据。方法收集后藏地区难治性鼻出血患者63例,分析其出血原因,鼻内镜下寻找出血部位并进行治疗。结果后藏地区难治性鼻出血的主要病因为高血压,主要诱因为气候干燥和不良生活习惯;出血部位主要在鼻中隔前端、嗅裂区及鼻中隔上部、下鼻道后穹隆部、中鼻道后末端。结论高原地区难治性鼻出血发病有地域特征性,应结合高原特点开展鼻出血的防治工作。

Objective To study the clinical characteristics of refractory nasal bleeding in plateau area, and to provide evidence for prevention and therapy of nosebleed. Methods 63 cases of refractory nasal bleeding were collected in Tsang region. The reasons of bleeding were analyzed, bleeding positions were observed and then treated under endoscope. Results The main reason of refractory nasal bleeding was hypertension and the major inducements included dry climate and bad lifestyle habits. The frequent sites of nasal bleeding included Little~ area, olfactory cleft, superior portion of nasal septum, posterior fornix of inferior meatus, and posterior end of middle meatus. Conclusion Due to its regional characteristics, refractory nasal bleeding in plateau area should be prevented and treated combining with these characteristics.