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目的探讨Fleth管在前后鼻孔填塞法治疗鼻出血中的应用效果。方法对2003年10月至2008年5月出血来自鼻腔后部、出血部位不清楚、出血量较多、出血较剧及鼻腔填塞未能奏效者为治疗对象。随机分组,采用Fleth管行前后鼻孔填塞治疗70例,采用传统前后鼻孔填塞70例。结果两组之间止血效果比较差异无统计学意义。结论Fleth管代替后鼻孔止血纱球做为填塞栓子,其对鼻腔黏膜刺激小、弹性好、耐磨柔韧性强,不必从口咽腔取出,易为患者所接受。且操作简单,易于学习掌握,特别适于基层医院实施,值得推广。
Objective To investigate the application of Fleth tube in the treatment of epistaxis with frontal and posterior nostril tamponade. Methods From October 2003 to May 2008 bleeding from the rear of the nasal cavity, the location of the bleeding is not clear, more bleeding, bleeding and nasal packing more ineffective for the treatment of patients. The patients were randomly divided into two groups: 70 cases were treated by nasal packing with Fleth tube before and after the operation, and 70 cases were treated by traditional nostril stuffing. Results There was no significant difference in the hemostatic effect between the two groups. Conclusion The Fleth tube replaces the nostril hemostatic gauze ball as a stuffing plug, which is less irritating to the nasal mucosa and has good elasticity and abrasion resistance. It does not have to be removed from the oropharyngeal cavity and is easily accepted by patients. And simple operation, easy to learn and master, especially suitable for the implementation of primary hospitals, it is worth promoting.