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耳鼻咽喉科门诊以头痛为主诉的患者相当多,在耳及鼻窦疾患中也常把解除头痛和头慢性沉重感作为手术目的。但对耳鼻咽喉科手术后头痛还注意不够。作者们以耳鼻咽喉科常见手术后的头痛为中心,进行手术前后的呼吸、体温和脉搏等各项检查、对比。在100例常行手术中,术后有头痛者44例,其中鼻及鼻窦手术占42例。在术后两侧鼻腔填塞纱条而完全鼻闭的15例患者中,有14例血中pCO_2(二氧化碳分压)较术前下降;其中11例术后头痛。而术后不填塞鼻腔的6例中有5例血中pCO_2升高,这6例术后无头痛。去掉鼻内填塞纱条30分钟后血中pCO_2较填塞时升高。
Otolaryngology clinics headache-based patients complained quite a lot, in the ear and sinus disorders often relieve headache and headache, heavy as a surgical goal. However, headache after otolaryngology surgery is also not enough attention. The authors focused on the common otolaryngology headache after surgery, before and after surgery for breathing, body temperature and pulse and other checks, compared. In 100 cases of routine surgery, there were 44 cases of postoperative headaches, of which 42 cases of nasal and sinus surgery. Among the 15 patients with complete nasal closure of the nasal packing gauze on both sides, pCO_2 (partial pressure of carbon dioxide) decreased in 14 of the patients compared with that before surgery; 11 of them had postoperative headache. Five of the 6 patients who did not fill the nasal cavity after surgery had an increase in pCO 2 in the blood, which resulted in no headache in 6 patients. 30 minutes after removing the nasal stuffing gauze, blood pCO 2 is higher than when stuffing.