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鼻出血多来自鼻前部,但鼻后部的出血也占相当比例。鼻后部出血往往来势凶猛,常因反复发生而可能引起严重并发症。1988年Warman报告应用鼻内窥镜选择性电灼法治疗鼻后部出血。据此,笔者应用Stort硬鼻内窥镜在直视下找到出血处,再依病情予以相应的处理,治疗3例,均收到较好的止血效果。报告如下。 例1 男,52岁。1992年1月29日因左鼻多量出血急诊入院。2年来患者反复大量左鼻出血8次。每次发作,血流如注,出血量达300~2000ml不等。先后多次行前、后鼻孔填塞及左筛前动脉结扎术,但
Most nosebleeds come from the anterior nasal, but bleeding from the back of the nose also accounts for a significant proportion. Bleeding in the back of the nose is often fierce, often because of repeated occurrences and may cause serious complications. 1988 Warman report nasal endoscopic selective electrocarrosion treatment of nasal hemorrhage. Accordingly, I use Stort hard nose endoscope to find bleeding in direct vision, according to the disease to be treated accordingly, the treatment of 3 cases, have received better hemostatic effect. The report is as follows. Example 1 male, 52 years old. January 29, 1992 due to massive nasal leftovers emergency admission. 2 years patients repeatedly large nosebleeds 8 times. Each attack, blood flow, such as note, the amount of bleeding ranging from 300 ~ 2000ml. Has repeatedly before and after the nostril stuffing and left anterior artery ligation, but