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1996年10月至1998年5月,我科采用MTC—4型微波手术治疗仪治疗鼻衄161例,现报告如下。 1 临床资料 1.1 一般资料:本组161例,均为鼻腔Little氏区(或称克氏静脉丛)出血者,男98例,女63例。年龄10～81岁,平均41.5岁。病程1天～2年。当时出血即来院者12例,出血3次来诊者8例,余来诊时1周内均有3次以上出血。发病时间夏季较多见。来本院前均经肌注止血药物或填塞纱条无效。血常规、血小板、出、凝血时间均在正常范围之内。检查鼻腔黎氏区可见出血点或搏动性出血灶。 1.2 治疗方法:3％麻黄素棉片加数滴1％地卡因溶液,收缩并表面麻醉鼻腔粘膜,以便看清出血点和减少操作时的疼痛。微波开机预热启动,微波功率选用100～130毫安,微波辐射探头端部直接贴近出血
October 1996 to May 1998, our department used MTC-4 microwave surgical treatment of epistaxis in 161 cases, are as follows. 1 Clinical data 1.1 General information: 161 cases in this group, all nasal Little’s area (or Kovar Venous Plexus) hemorrhage, 98 males and 63 females. Age 10 ~ 81 years old, average 41.5 years old. Duration of 1 days to 2 years. At that time, bleeding to the hospital in 12 cases, 3 cases of bleeding to the clinic in 8 cases, I came to the clinic within 1 week more than 3 times bleeding. The onset of summer more common. To the hospital by intramuscular injection of hemostatic drugs or gauze invalid. Blood, platelets, out, clotting time are within the normal range. Check the nasal Lyme visible bleeding or pulsatile bleeding. 1.2 Treatment: 3% ephedrine cotton plus a few drops of 1% cocaine solution, contraction and nasal mucosa surface anesthesia in order to see the bleeding point and reduce the pain during operation. Microwave preheat start, the microwave power selected 100 ~ 130 mA, microwave radiation probe directly close to the end of the bleeding