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1 临床资料例1 患者男性,27岁。因车祸致头部外伤后反复大量鼻衄半月入院。患者因车祸致头面部外伤,伤后无明显昏迷史,右面部裂伤,在当地医院予清创缝合治疗,分别于伤后第5、9、12天突然出现鼻腔大量出血,每次出血量达1000m/左右,出血时有血压下降,曾分次输全血1400ml治疗。鼻腔粘膜未见明显异常,均经鼻腔及后鼻孔填塞治疗后出血停止。入院时查体:血压120/80mmHg。神清,面色较苍白,双
1 clinical data example 1 patient male, 27 years old. Due to a car accident caused by head trauma repeated a large number of epistaxis admitted to hospital for half a month. The patients were caused by head injury with car accident, no obvious coma after injury, and right facial laceration. In the local hospital, debridement and suture treatment were performed. A large amount of nasal bleeding appeared suddenly on the 5th, 9th and 12th day after injury respectively. Up to 1000m / or so, there is blood pressure when bleeding, had sub-blood transfusion 1400ml treatment. No significant abnormal nasal mucosa, nasal and post-nostril packing bleeding stop. Admission examination: blood pressure 120 / 80mmHg. Clear, looking pale, double