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患者,男,81岁,农民。6d前无明显诱因,右鼻反复大出血,约800ml,在当地多次鼻腔填塞及止血药治疗无效,于1987年8月19日夜,急诊住院。检查及处理:全身情况稍差,去除右鼻腔填塞物及血凝块,尚未查明出血部位,忽又大出血不止,立即用油纱条行前鼻孔填塞。但血液从口腔吐出及咽下,查看咽部,其血液由右鼻咽部滴答下注,出血量约400ml。遂改用前后鼻孔填塞,出血停止。经输血及对症治疗,病情好转。于8月25日抽出前后鼻孔填塞物后,当天夜6点,复又出血,似如泉水样从右鼻涌出。约300ml分别
Patient, male, 81 years old, farmer. 6d before no obvious incentive, repeated heavy bleeding on the right nose, about 800ml, multiple local nasal packing and hemostatic treatment ineffective, on the night of August 19, 1987, emergency hospitalization. Inspection and treatment: The overall condition is slightly worse, remove the right nasal packing and blood clots, not yet identified bleeding sites, suddenly and major bleeding more than immediately before the gauze row of nasal packing. However, the blood spit from the mouth and swallow, check the pharynx, the blood from the right nasopharyngeal tick infusion, bleeding about 400ml. Then use before and after the nostril stuffing, bleeding stopped. Transfusion and symptomatic treatment, the condition improved. On August 25 after the nostril stuffed out before and after 6 o’clock that night, complex and bleeding, like a spring-like water from the right nose. About 300ml respectively