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阿司匹林很早就作为解热镇痛和抗风湿药物使用于临床,其副作用在耳鼻喉科常见的有耳鸣、耳聋等,至于出血倾向,未见报道。今报道2例小儿,由于口服阿司匹林复方制剂(小儿用阿司匹林镁,每片含阿司匹林81mg),导致鼻腔前部大量严重出血,结果不得不进行输血救护。因而,耳鼻喉科医生,应了解阿司匹林能引起出血这一副作用,对手术前、手术后或易致出血的患者,应避免使用阿司匹林。还有,当小儿出现顽固性出血时,应查明该患儿是否服用过阿司匹林。
Aspirin has long been used as antipyretic analgesics and anti-rheumatic drugs in clinical practice, its side effects are common in otolaryngology tinnitus, deafness, etc., as bleeding tendency has not been reported. This report 2 cases of children, due to oral aspirin compound preparations (aspirin in children with aspirin, each containing aspirin 81mg), leading to a large number of severe nasal bleeding, the results had to be transfused. Thus, otolaryngologists should be aware of the side effects of aspirin on bleeding and avoid aspirin in preoperative, postoperative or bleeding-prone patients. Also, when pediatric bleeding occurs, it should be determined whether the child has taken aspirin.