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目的探讨高血压鼻出血的发病特点及治疗方法。方法观察38例高血压鼻出血患者的临床资料,并根据病情采取鼻腔填塞或内镜下电凝止血,同时降压对症治疗。结果行鼻腔填塞14例,电凝止血18例,前后鼻孔联合填塞6例,一次性止血28例,2~3次止血6例,4例转院治疗。结论高血压鼻出血与血压骤然升高密切相关,有明显的季节性、时间性,出血部位多隐蔽,内镜下行局部填塞及电凝止血疗效肯定。控制血压是防治出血的重要措施。
Objective To investigate the incidence of hypertension and its treatment of epistaxis. Methods The clinical data of 38 patients with hypertensive epistaxis were observed, and nasal packing or endoscopic electrocoagulation was used to stop the bleeding, meanwhile antihypertensive symptomatic treatment was performed. Results There were 14 cases of nasal packing, 18 cases of electrocoagulation and hemostasis, 6 cases of frontal and nostril joint stuffing, 28 cases of one-time hemostasis, 6 cases of 2 to 3 times hemostasis and 4 cases of transfer to hospital. Conclusions Hypertensive epistaxis is closely related to the sudden increase of blood pressure. There are obvious seasonal and time-dependent, more hidden parts of hemorrhage, local descending of endoscopic and hemostatic effect of electrocoagulation. Control of blood pressure is an important measure to prevent bleeding.