Refractory epistaxis 60 cases.docVIP

 PAGE \* MERGEFORMAT 8 Refractory epistaxis 60 cases [Paper Keywords] nose bleeding, diagnosis, treatment [Abstract] Objective: To explore the intractable epistaxis clinical features. Methods: A retrospective analysis of 60 cases of intractable epistaxis clinical data: parts of intractable epistaxis mostly olfactory fissure, the middle meatus after end and back end of nasal septum, a significant seasonal, age, gender and disease characteristics associated Conclusion: Familiarity with refractory epistaxis clinical features, the use of nasal endoscopy can accurately identify the bleeding site and local circumstances, to choose integrated treatment is to improve the efficacy of the key. Intractable epistaxis is a common ENT emergency intensive, but also one of many clinical signs of disease, the amount of bleeding is usually large, ferocious, patients with severe life-threatening. The author of the January 2004 to 2007 December, with complete clinical data in patients with intractable epistaxis were retrospectively analyzed, results showed that the refractory epistaxis with significant seasonal, age, gender, and associated disease characteristics, and the bleeding site mostly olfactory fissure, in the nose Road, the back-end and back end of nasal septum. are reported as follows: 1 Materials and Methods 1.1 General Information The group of 60 cases, 45 males and 15 females, aged 18 to 85 years, mean 56 years, all patients had recurrent epistaxis treatment, 57 cases of unilateral nasal bleeding, 3 cases of bilateral nasal bleeding, 50 cases occurred in winter and spring, 10 cases occurred in summer and autumn, 38 cases of hypertension, 1 case of nasopharyngeal carcinoma after radiotherapy, the olfactory fissure bleeding site in 25 cases, the nasal back-end, 13 cases of nasal septum back in 8 cases, other parts of the nasopharynx venous plexus in 7 cases, under the nose back in 5 cases, nasopharynx in 2 cases. 1.2 Clinical examination and t