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作者报导1965年到1971年颌内动脉结扎治疗严重鼻出血60例,除4例作双侧结扎外,其余均行单侧结扎。手术指征:严重鼻出血曾作后鼻孔栓塞或赛罗卡因加副肾素腭大孔注射无效者。作者认为:确定出血部位对结扎血管的选择至为重要,并指出颌内动脉和筛前动脉在鼻腔内有丰富的侧支循环,对来自鼻腔后上部的出血,有时需要同时结扎这两个血管。颌内动脉结扎手术以全麻插管下进行较为安全,可以避免误吸胃内容物,本组病例除11例外均行全麻手术,作者介绍先行咽喉局部表面麻醉.清醒插入带囊插管,等套囊吹起后再全麻。手术采取柯-陆氏径路,术中注意血管解削关系,颌内动脉不但弯弯曲曲并且分支较多,结扎必须准确,不要损伤,一般上颌窦腔内不作充填。
The authors report 60 cases of severe epistaxis treated with ligation of the maxillary artery from 1965 to 1971, except for 4 cases of bilateral ligation, the other unilateral ligation. Surgical indications: Severe epistaxis has been made after nostril embolism or cercarine plus Vice Renin palate large hole injection is invalid. The authors suggest that it is important to determine the site of blood vessel selection for ligation and to indicate that the intra-arteries of the maxillary and anterior ethmoidal arteries have abundant collateral circulation. Bleeding from the posterior upper nasal passages sometimes requires the simultaneous ligation of both vessels . Maxillary artery ligation surgery under general anesthesia intubation more safe to avoid mistaken inhalation of gastric contents, this group of patients except 11 cases were under general anesthesia surgery, the author introduced the first throat local surface anesthesia. Soberly inserted with balloon catheterization, Other cuffs blown and then general anesthesia. Surgery to take Ke - Lu path, intraoperative attention to the relationship between the blood vessels to relieve, not only curved arteries and branches more branches, ligation must be accurate, do not damage the general maxillary sinus cavity filling.