山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (1): 53-54.

• 论文 • 上一篇    下一篇

可吸收止血纱布贴敷治疗儿童鼻中隔前端鼻出血

李大建,刘艳,张恩东,刘新义   

  1. 威海市妇女儿童医院耳鼻咽喉科,  山东 威海 264200
  • 收稿日期:2011-07-16 出版日期:2012-02-16 发布日期:2012-02-16
  • 作者简介:李大建,医学博士,主治医师。

Absorbable hemostatic gauze in treating child epistaxis of the anterior nasal septum

LI Da-jian, LIU Yan, ZHANG En-dong, LIU Xin-yi   

  1.  Department of Otorhinolaryngology, Weihai Woman and Child Hospital, Weihai 264200, Shandong, China
  • Received:2011-07-16 Online:2012-02-16 Published:2012-02-16

摘要:

目的   探讨可吸收止血纱布贴敷治疗儿童鼻中隔前端鼻出血的临床疗效,探索一种安全、有效、简便、无创的治疗方法。方法   自2006年3月~2010年3月,分析261例儿童鼻中隔前端出血治疗效果,其中,2006年3月~2007年9月采用30%硝酸银液化学腐蚀法治疗127例,2007年9月~2010年3月采用可吸收止血纱布贴敷出血部位治疗134例。结果   可吸收止血纱布治疗组有效124例(92.5%),无效10例;30%硝酸银治疗组有效110例(86.6%),无效17例,两组差异无统计学意义(P>0.05);硝酸银治疗组多数患儿出现鼻痛、鼻痒和或打喷嚏;可吸收止血纱布组少数患儿出现以上症状,且程度轻,两组比较差异有统计学意义(P<0.05);两组患儿均未出现鼻中隔穿孔等严重并发症。结论   可吸收止血纱布贴敷治疗儿童鼻中隔前端鼻出血具有疗效好、安全、有效、简便、无创的优点,值得推广使用。

关键词: 儿童; 鼻出血; 可吸收止血纱布; 鼻中隔

Abstract:

Objective   To evaluate the curative effect of absorbable hemostatic gauze in treating the child epistaxis of anterior nasal septum. Methods   261 cases of child epistaxis in anterior nasal septum were treated and analyzed, of which 127 cases were treated with 30% silver nitrate from March 2006 to September 2007 and 134 cases were treated with absorbable hemostatic gauze from September 2007 to March 2010. Results   124 cases were effective in the absorbable hemostatic gauze group with an effective rate 92.5%; 110 cases were effective in the 30% silver nitrate group with an effective rate 86.6%; there was no significant difference between the two groups(P>0.05). The most children in the silver nitrate group showed symptoms of rhinodynia, rhinocnesmus and/or sneezing while few children showed the above symptoms in the absorbable hemostatic gauze group. There was significant difference between the two groups(P<0.05). There was no serious compliance such as perforation of nasal septum in the both groups. Conclusion   Absorbable hemostatic gauze is effective, safe, simple, and convenient For child epistaxis of anterior nasal septum.

Key words: Child; Epistaxis; Absorbable hemostatic gauze; Nasal septum

中图分类号: 

  • R765.23
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