关键词: 鼻出血, 鼻腔填塞, 止血, 电凝术, 鼻内镜检查

Abstract:

 Objective   To investigate etiology, bleeding points, treatment methods, and curative effect of epistaxis inpatients. Methods   The clinical data of 237 epistaxis inpatients were retrospectively analyzed. Results   There were 176 males, 61 females, aging from 14 to 86 years (mean 55 years). 232 were unilateral and 5 were bilateral. The bleeding points were more often in the following sites: anterior and inferior side of the septum (n=47), inferior nasal meatus (n=42), and olfactory cleft area (n=31). Vaseline gauze or iodoform gauze nasal packing were used in 102 patients in which 68 patients were cured and 34 followed by endoscopy and electrocoagulation. Merocel or Gelfoam nasal packing were used in 134 patients in which 40 patients were cured and 94 followed by endoscopy and electrocoagulation. 1 patient was cured by drugs without nasal packing. 128 patients were treated by nasal endoscopy and electrocoagulation and 122 of them were cured. Conclusion    Epistaxis inpatients are mainly old man and are almost unilateral. The most effective treatment for epistaxis inpatients is electrocoagulation by nasal endoscopy.

Key words: Epistaxis, Nasal packing, Hemostasis, Endoscopy, Electrocoagulation