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顽固性鼻出血可危及生命,保守治疗的失败率为26～52%,并发症发生率为2～50%。作者通过回顾性研究,对1985～1988年住院的严重鼻出血病例进行总结评价,其中顽固性鼻出血42例,年龄23～76岁,平均48岁。28例采用一般方法治愈。手术治疗3例,高血压引起者2例,外伤1例,均进行一侧颌内动脉结扎,其中1例附加筛前及筛后动脉凝固术,术后均未再发出血。11例经一般治疗无效而行血管造影及栓塞治疗,其中高血压4例,外伤2
Intractable nosebleeds can be life-threatening, conservative treatment failure rate of 26 to 52%, the complication rate of 2 to 50%. Through retrospective study, the author summarizes the cases of severe epistaxis hospitalized in 1985 ~ 1988, including 42 cases of intractable epistaxis, aged from 23 to 76 years, with an average of 48 years. 28 cases were cured by the general method. Surgical treatment in 3 cases, 2 cases caused by hypertension, trauma in 1 case, one side of the ligation of the internal carotid artery, including 1 cases of additional pre-screening and post-sieve arterial coagulation surgery, no postoperative bleeding. 11 cases of general treatment of ineffective angiography and embolization, including 4 cases of hypertension, trauma 2