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目的：探讨鼻内镜下治疗顽固性鼻出血的治疗措施。方法对80例老年顽固性鼻出血患者在鼻内镜下寻找出血点，并行双极电凝结合填塞止血纱布止血。结果77例找到明确出血点，3例未见明确出血点。一次治愈75例，5例伴有高血压病的患者术后仍有少量出血，经控制血压后治愈。术后未出现并发症。结论鼻内镜下双极电凝配合填塞止血纱布能有效治疗顽固性鼻出血。“,”Objective:To evaluate the endoscopic treatment efficacy of intractable epistaxis. Methods:Eighty elderly patients with intractable epistaxis were checked by Nosa endoscope and subsequently treated with bi-Polar electro-coagulation combined with packing hemostasia gauze once the hemorrhagic focus was detected.Results:Hemorrhagic focus was defined under nosal endoscope in 77 eases with exact hemorrhagic focus not found in 3 individuals. Seventy-five patients were cured on first treatment.Five patients with hypertension stil had slight bleeding after treatment, but were final y cured when blood pressure was control ed.No complication was found in al individuals. Conclusions:The nasal endoscope can locate the epistaxis focus precisely;bi-polar electro-coagulation is an effective means for treatment of intractable epistaxisin the elderly.