Endoscopic microwave coagulation treatment of intractable epistaxis.docVIP

 PAGE \* MERGEFORMAT 10 Endoscopic microwave coagulation treatment of intractable epistaxis Keywords: Endoscopic microwave coagulation of intractable epistaxis Nasal bleeding is the most common ENT emergency. Epistaxis is the application of traditional local oppression around the nose tamponade, vasoconstriction agents, sedatives and blood transfusion and other methods are beyond the control of nasal bleeding. More difficult to deal with the past in order to nasal packing as the main means to improve the bleeding relevance, success rate, reducing the pain of repeated nasal packing, the Division since December 2004 to April 2007 Application of Endoscopic microwave treatment of intractable epistaxis 58 cases of bleeding in patients with satisfactory outcome, the report is as follows. A clinical data 1.1 General Information 58 cases in this group of 36 cases of male and female 22 cases; aged 8 to 78 years, mean 51 years; of these “15-year-old in 5 cases, 15 to 50 years old in 17 cases,” 50-year-old 36 cases. 55 cases of unilateral, bilateral in 3 cases, were characterized by “two times before packing the nose or around the nose, while for the anti-inflammation, bleeding, fluid replacement or blood transfusion and other treatment, is still unable to effectively stop bleeding. Nose bleeding sites: the nasal septum in the rear of 15 cases, the lower edge of the middle turbinate in 10 cases, 2 cases of the middle meatus, inferior meatus medial back eight cases, Woddruff venous plexus in 11 cases, olfactory groove in 5 cases, septal crest or spinous process in 7 cases. Causes of bleeding: 10 cases of deviation of nasal septum, post-traumatic in 4 cases, hypertension in 16 cases, upper respiratory tract infection and fever in 8 cases, 7 cases of diabetes, cancer, 2 cases of unknown causes in 11 cases. 1.2 Treatment With 1% tetracaine and 0.1% adrenaline cotton piece full contraction of narcotic nasal mucosa 2 times. Endoscop