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目的探讨高膨胀止血材料在不同出血量的老年鼻出血患者中的合理应用。方法根据入院前24 h内出血量,将老年鼻出血患者分为三组,大于400 mL患者为A组,100~400 mL者为B组,小于100 mL者为C组。每组随机抽取30例,应用高膨胀止血材料作为鼻腔填塞材料,观察止血效果。结果 A、B、C三组有效率分别为70.0%、83.3%、96.7%,出血量越小的病人,高膨胀止血材料有效率越高,差异有统计学意义。结论对于低到中量的鼻出血老年患者,使用高膨胀止血材料有较好的疗效。
Objective To investigate the rational use of high-expansion hemostatic materials in patients with senile epistaxis with different amounts of bleeding. Methods According to the amount of bleeding within 24 hours before admission, the patients with senile epistaxis were divided into three groups. Group A was more than 400 mL, group B was 100-400 mL, group C was less than 100 mL. Thirty cases were randomly selected from each group. High expansion hemostatic materials were used as nasal packing material to observe the effect of hemostasis. Results The effective rates of the three groups of A, B and C were 70.0%, 83.3% and 96.7% respectively. The higher the effective rate of high-expansion hemostatic material, the lower the bleeding was. The difference was statistically significant. Conclusion For elderly patients with low to moderate amount of epistaxis, the use of high-expansion hemostatic material has a good effect.