中国耳鼻咽喉头颈外科2017，Vol.24Issue(6)：309-311,3.DOI:10.16066/j.1672-7002.2017.06.009
难治性鼻出血患者出血部位各年龄段间的差异与特点
Age-related clinical characteristics and differences of refractory nasal bleeding site
范森 1付勇2
作者信息
- 1. 湖北省老河口市第一医院耳鼻咽喉科,湖北 老河口441800
- 2. 浙江大学医学院附属儿童医院耳鼻咽喉科,浙江 杭州310051
- 折叠
摘要
Abstract
OBJECTIVE To investigate the distribution and regularities of intractable nasal bleeding site in different aged patients.METHODS The clinical data of 149 patients with intractable epistaxis were reviewed respectively.RESULTS Of the 149 patients, 110 cases were male and 39 cases were female with a age ranged from 18 to 87 years. They were divided into young group (39y or less), middle age group(40~59 y) and elderly group(60y or older), and there were 36, 52 and 61 cases in each group respectively. Hemostasis was performed with local anesthesia or general anesthesia under nasal endoscope. There were 145 cases with definite bleeding site, and electrocautery or micropacking was used for stop the bleeding. There were 4 cases without definite bleeding site. The bleeding site was on the posterior fornix of inferior meatus in 22 cases(61%), posterosuperior of middle nasal meatus in 13 cases(36.1%) and olfactory cleft of nasal septum in one case(2.7%) in young group; The bleeding site was on the posterior fornix of inferior meatus in 23 cases(44.2%), posterosuperior of middle nasal meatus in 10 cases(19.2%) and olfactory cleft of nasal septum in 17 cases(32.7%) in the middle age group; In the elderly group, the bleeding site was on the olfactory cleft of nasal septum in 37 cases(60.6%), posterosuperior of middle nasal meatus in 15 cases(24.6%) and posterior fornix of inferior meatus in 7 cases(11.5%).CONCLUSION In patients with refractory nasal bleeding, the majority responsible vessel was sphenopalatine artery or its branches in young and middle-aged patient and branches of anterior/posterior ethmoidal artery in elderly patients. Along with the increase of age, the sphenopalatine artery branch bleeding decreased, but the branches of anterior/posterior ethmoidal artery bleeding increased.关键词
鼻出血/年龄组/内窥镜检查Key words
Epistaxis/Age Groups/Endoscopy引用本文复制引用
范森,付勇..难治性鼻出血患者出血部位各年龄段间的差异与特点[J].中国耳鼻咽喉头颈外科,2017,24(6):309-311,3.
