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因下鼻甲肿大引起的鼻塞在药物治疗失败时可以手术治疗。粘膜下透热(SMD)是缩小下鼻甲的一种良好技术(Simpson等,1968),Talet等(1987)认为SMD很少痛苦和/或并发症。作者报告一名23岁男性病人,在SMD后二周发生两侧鼻出血,24小时内失血约500ml,经鼻腔填塞后停止。二天后取出填塞物,此后48小时内无继续出血。血色素及出、凝血检查正常。第6天出血1 800ml,气囊填塞后止血。输血5个单位后,全麻下检查发现有大量的痂皮
Nasal congestion caused by the enlargement of the inferior turbinate can be surgically treated when the medical treatment fails. Submucosal ventilation (SMD) is a good technique for reducing the inferior turbinate (Simpson et al., 1968) and Talet et al. (1987) consider SMD as less painful and / or complication. The authors report a 23-year-old male patient with bilateral epistaxis occurring two weeks after SMD, blood loss of about 500 ml within 24 hours and cessation of nasal packing. Remove the stuffing two days later, no further bleeding within 48 hours thereafter. Hemoglobin and out, clotting test is normal. The first six days of bleeding 1 800ml, after the air bag to stop bleeding. After transfusion of 5 units, under general anesthesia examination found a lot of crusts