鼻内镜下治疗鼻出血313例临床分析

Clinical Analysis of 313 Epistaxis Cases with Treatment under Nasal Endoscopy

目的:探讨鼻出血的好发部位、易发人群、高发季节,总结治疗鼻出血的经验。方法:回顾性分析313例鼻出血病例资料,得出结论。结果:鼻出血好发部位依次为利特尔区(49.5%)、嗅裂区(15.3%)、下鼻道后穹隆(5.8%)。≥40岁人群易发(83.4%)且心血管疾病患者比例较高(54.4%),以冬春季发病为主。所有患者经内镜下填塞或单极电凝治疗后病情均得到控制。结论:患者鼻腔出血点不易见时,内镜下应循出血好发部位全面寻找,40岁以上尤其合并有心血管疾病人群应注意季节性地做好该病的预防工作。

Objective：To investigate the predilection site,prone group,high-occurrence season of epistaxis,and to summarize the experience of the treatment of epistaxis.Method：A retrospective study of case reports about 313 patients with epistaxis was made for a conclusion.Result：Predilection sites of epistaxis were little area（49.5%）,olfactory cleft area（15.3%） and nasal passages under the posterior fornix（5.8%）.Apt age group of epistaxis was more than 40 years old（83.4%）,they were with high rates of cardiovascular disease（54.4%）.Winter and spring had a high morbidity.All patients who were treated by tamping hemostatic or monopolar electrocoagulation had been cured.Conclusion：When the nasal bleeding point is not easy to see,to find the bleeding site can give priority to explore the above-mentioned place.People who were more than 40 years old with cardiovascular disease shall pay attention to the seasonal disease’s prevention work.