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鼻衄是鼻科常见的急症,大多数可经保守治疗而止血。少数严重的鼻衄虽经血管结扎仍然不能控制。我科于84年9月遇到一例,用多种止血措施无效,后经筛窦开放填塞术而治愈,特介绍如下: 患者苏×,男,63岁,退休教师。三天前右鼻突然出血,经门诊多次鼻腔填塞无效。入院检查:血压142/80,皮肤无黄染及出血点,浅表淋巴不肿大,心肺正常,肝脾不大,右鼻腔前上部出血,鼻中隔中部,粘膜糜烂,看不清出血点,给予鼻腔填塞,继续有博动性出血,乃作前后鼻孔填塞,并给予补液、输血、
Rhinoplasty is a common nasal emergency, the majority of conservative treatment can stop bleeding. Although a small number of serious epistaxis after vascular ligation still can not control. Our department in September 84 encountered a case, with a variety of hemostatic ineffective, after the ethmoid sinus open and cure, especially introduced as follows: su ×, male, 63 years old, retired teacher. Sudden nose suddenly bleeding three days ago, the clinic multiple nasal packing ineffective. Admission examination: blood pressure 142/80, no skin yellowing and bleeding, superficial lymph nodes, normal heart and lung, liver and spleen not, the right upper nasal hemorrhage, nasal septum middle, mucosal erosion, bleeding can not see, give Nasal packing, continue to have a dynamic bleeding, is for the nostril packing, and given fluid, blood transfusion,