鼻出血英ppt演示课件.ppt

EPISTAXIS;Introduction and History ;Anatomy/Physiology of Epistaxis;Why bleeding from the nose ?;Anatomy of the Lateral Nasal Wall;Sphenopalatine foramen (SPF) Class;External Carotid Artery -Sphenopalatine artery -Greater palatine artery -Ascending pharyngeal artery -Posterior nasal artery -Superior Labial artery Internal Carotid Artery -Anterior Ethmoid artery -Posterior Ethmoid artery;Pterygopalatine Vasculature --Internal maxillary artery;Anatomy of the Nasal Cavity and Vasculature;Sphenopalatine AA Ethmoid AA Greater Palatine A;;;Kesselbach’s Plexus/Little’s Area: -Anterior Ethmoid (Opth) -Superior Labial A (Facial) -Sphenopalatine A (IMAX) -Greater Palatine (IMAX) Woodruff’s Plexus: -Pharyngeal Post. Nasal AA of Sphenopalatine A (IMAX) ;;Anterior vs. Posterior;Etiology;Etiology;Local Factors -- Vascular;Local Factors - Infection/Inflammation;Local Factors - Trauma;Nasal Fracture with Septal Hematoma;Local Factors - Iatrogenic nasal injury;Local Factors - Neoplasm;;Local Factors –  Dessication;Local Factors - Other;Systemic Factors -- Vascular;Systemic Factors – Infection/Inflammation;Systemic Factors – Coagulopathies;Etiology and Age;Initial Management;suction;Non-surgical treatments ; Non-surgical treatments – on d/c;Nasal packs;Pick a Pack, any pack;Pick a pack to pack with;TSS—Nugauze vs. Merocel Electron microscopy;Posterior Packs – Admission ;Indications for surgery/embolization;Selective Angiography/embolization;Surgical treatment;Transmaxillary IMA ligation;;Intraoral IMA ligation;Ant./Post. Ethmoidal ligation;Transnasal Endoscopic Sphenopalatine Artery ligation;Transnasal Spheno-palatine Artery ligation;ECA ligation ;Septodermoplasty/Laser;Statistically speaking,….;Tips and Pearls;Tips and Pearls;Tips and Pearls;典型录像;鼻内镜下止血