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目的：探讨海绵窦颈内动脉损伤致严重鼻腔大出血急诊血管内栓塞治疗的效果。方法：对７例海绵窦颈内动脉损伤致严重鼻腔大出血病例行急诊介入性血管内栓塞治疗。采用弹簧钢圈栓塞２例，可脱性球囊栓塞５例。结果：栓塞载瘤动脉３例，栓塞海绵窦及瘘口４例。全部病例栓塞后出血停止，随访２～３８个月，未再出血，无任何神经功能障碍。结论：海绵窦颈内动脉损伤致鼻腔大出血，急诊采用介入性血管内栓塞治疗，疗效显著，是首选的治疗方案。
Objective: To investigate the effect of emergency endovascular embolization of severe nasal hemorrhage caused by cavernous sinus internal carotid artery injury. Methods: Emergency interventional endovascular embolization was performed in 7 cases of severe nasal bleeding caused by cavernous sinus internal carotid artery injury. The use of spring steel embolism in 2 cases, detachable balloon embolization in 5 cases. Results: There were 3 embolized tumor-bearing arteries, 4 embolized cavernous sinus and fistula. All cases were stopped after embolization bleeding, followed up for 2 to 38 months, no further bleeding, without any neurological dysfunction. Conclusion: Cavernous sinus internal carotid artery injury caused by nasal bleeding, emergency use of interventional endovascular embolization, significant effect, is the preferred treatment.