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鼻腔后部复发性严重出血是临床常遇到的急症之一,鼻腔后部出血以 Woodruff’s区出血为多见,该处位于下鼻道后外侧壁,鼻腔出血较剧时,填塞比较盲目,由于下鼻甲的阻碍致填塞物不能确切压迫该出血部位,而仍出现间断、反复大量的出血。为选择有效、迅速、简便的治疗方法,对减轻患者的痛苦和减少并发症尤为重要。我们自1990年以来对38例严重鼻出血行内窥镜下检查,硬化剂粘膜下注射获得满意的效果,现报告如下。
Severe recurrent hemorrhage in the back of the nasal cavity is one of the most common clinical emergencies. The bleeding in the rear of the nasal cavity is more common in Woodruff’s area, which is located in the posterior lateral wall of the inferior nasal canal. Obstruction caused by the inferior turbinate caused by the stuffing can not exactly oppress the bleeding site, while still intermittent, repeated massive bleeding. In order to choose an effective, rapid and easy treatment, it is especially important to reduce patient’s pain and reduce complications. We have since 1998, 38 cases of severe nasal bleeding endoscopy, sclerotherapy submucosal injection to obtain satisfactory results are as follows.