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目的寻找治疗难治性鼻出血安全有效、疗效可靠的治疗方法。方法:回顾2011年6月-2012年6月在我科治疗的37例难治性鼻出血住院患者,探讨鼻出血电凝止血法及50%葡萄糖注射液鼻腔注射的疗效。结果:37例患者中,32例采用鼻内镜下电凝止血法,其中有4例治疗后再次出血,给予出血点加压注射50%葡萄糖注射液后血止痊愈;另有5例后鼻孔出血未找到出血点者,给予蝶腭孔注射并填塞,均血止痊愈。结论:对于在鼻内镜下未能一次电凝止血者及未能找及出血点的后鼻孔出血患者,给予50%葡萄糖注射液加压注射于局部或蝶腭孔,止血效果良好。
Objective To find a safe and effective treatment of intractable epistaxis and reliable curative effect. Methods: Thirty-seven inpatients with intractable epistaxis who were treated in our department from June 2011 to June 2012 were retrospectively analyzed. The therapeutic effect of epistaxis with epistaxis and intranasal injection of 50% glucose injection were investigated. Results: Of the 37 patients, 32 patients underwent endoscopic electrocoagulation and hemostasis. Among them, 4 patients bleed again after treatment, and hemorrhage was given a pressure injection of 50% glucose injection. Hemorrhage was not found bleeding point, give the sphenopalatine hole injection and packing, blood only recovered. CONCLUSIONS: For patients with posterior nostril hemorrhage who failed to electrocoagulate the hemostat under nasal endoscopy and failed to find the bleeding point, 50% glucose injection was injected under pressure into the local or sphenopalatine foramen to stop the bleeding.