本文复习了5年间312例面部骨折住院病例。108例面中部骨折病人中,12例有严重鼻出血(出血持续一小时以上,需采取治疗措施)。鼻出血发病率占全部面部骨折病例的4%,占面中部骨折病例的11%。在这些病例中,6例需鼻腔填塞或输血治疗,2例需手术止血。例1,男性,20岁,因车祸致LeFort、Ⅲ型面部骨折,严重脑震荡和脑脊液耳漏。伤后10天面部骨折复位,3周后出院。出院一周后,以面部蜂窝织炎和右鼻孔大出血再次入院。立即作前后鼻孔填塞、输 This article reviewed 312 cases of facial fracture hospitalized in 5 years. Of the 108 patients with central midfacial fracture, 12 had severe epistaxis (bleeding lasts more than an hour, requiring treatment). The incidence of epistaxis accounted for 4% of all cases of facial fractures, accounting for 11% of cases of midfacial fractures. In these cases, 6 required nasal packing or transfusion, and 2 required surgery to stop bleeding. Example 1, Male, 20 years old, LeFort, Type III fractures, severe concussion, and cerebrospinal fluid otorrhea due to a car accident. Ten days after the injury facial fracture reduction, 3 weeks after discharge. After a week of discharge, he was admitted again with facial cellulitis and bleeding from the right nostril. Immediately before and after the nostril packing, lose