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女,24岁,因左鼻严重出血入院。5个月来反复鼻衄。原先出血可自止或要用含冰水的棉片填塞,但有四次需行鼻腔填塞止血。入院检查鼻腔及鼻咽部均属正常,全身一般情况好,血压110/75 mmHg,未服用过水杨酸或使用过可卡因制剂。血红蛋白10.9g/dl;血液学有关检查可排除血液系统疾病。追述病史发现患者近半年来正服避孕药Metrulen M-50(双醋酸乙二醇,ethynodiol diacetate及乙烯雌二醇,ethyniloestradiol)。开始对此项病史并未引起重视,也无因雌激素过多所致的乳房胀痛和蜘蛛痣。及至填塞和两次输血无效要考虑结扎颈外动脉和筛动脉
Female, 24 years old, due to severe left hemorrhage admitted to hospital. 5 months to repeated epistaxis. The original bleeding can be self-stop or to use cotton pads filled with ice water, but there are four nasal packing to stop bleeding. Nasal and nasopharyngeal admission examination are normal, the general condition is good, blood pressure 110/75 mmHg, have not taken salicylic acid or used cocaine preparations. Hemoglobin 10.9g / dl; hematology-related tests can rule out blood diseases. Recalling the history of patients found that nearly six months to take contraceptives Metrulen M-50 (ethylene glycol, ethynodiol diacetate and ethylene estradiol, ethyniloestradiol). Beginning of this history did not pay attention, nor because of excessive estrogen caused by breast pain and spider moles. To fill and two transfusions ineffective to consider the ligation of the external carotid artery and sieve artery