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目的分析鼻咽癌放疗后引起的鼻咽部大出血的特点及治疗。方法对广西省柳州市中医院耳鼻喉科2004-01-2009-12期间6例鼻咽癌放疗后鼻咽部大出血临床资料进行回顾性分析。结果 6例患者中4例抢救成功,2例死亡,病死率33.3%。结论鼻咽部大出血前多有反复鼻少量出血先兆,及时行预防性气管切开术,可提高鼻咽部大出血抢救成功率。
Objective To analyze the characteristics and treatment of nasopharyngeal hemorrhage caused by radiotherapy of nasopharyngeal carcinoma. Methods The clinical data of 6 cases of nasopharyngeal hemorrhage after radiotherapy of radiotherapy of nasopharyngeal carcinoma in the Department of Otorhinolaryngology, Liuzhou Hospital of Traditional Chinese Medicine from January 2004 to December 2009 were retrospectively analyzed. Results Of the 6 patients, 4 patients were successfully rescued and 2 died. The case fatality rate was 33.3%. Conclusion Nasopharyngeal bleeding before repeated bleeding a small number of occasional bleeding precursor, timely preventive tracheotomy can improve the success rate of nasopharyngeal bleeding.