局部注射治疗鼻出血

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近年来我科试用局部注射药物治疗鼻出血,获得较好效果,现将方法介绍如下。对鼻前段尤其是中隔前下方点状出血,针眼样搏动性出血,用1%普鲁卡因3~5毫升作鼻堤周围注射,压迫来自鼻前动脉血的来源,然后在粘膜下注射5%鱼肝油酸钠0.1~0.3毫升,使血管闭塞。微量的药液不会损伤粘膜上皮而发生坏死。我们治疗的19例,都获满意的效果。对鼻腔后段出血,可用腭大孔注射,患者头后仰,张大口,于上颌第二磨牙腭侧龈缘至中线的中点处,用5号口腔针头刺人,针尖斜面向下;若磨牙缺失,刺入点可选在软腭前0.5厘米,牙槽腭与腭中缝连线 In recent years, our department tried local injection of drug treatment of epistaxis, get better results, now the method described below. On the nose, especially before the septal punctate bleeding, needle-like pulsatile bleeding, with 1% procaine 3 ~ 5 ml for injection around the nose, oppression from the source of the anterior nasal artery, and then submucosal injection 5% sodium morronite 0.1 ~ 0.3 ml, vascular occlusion. Trace amount of liquid will not damage the mucosal epithelium and necrosis. We treated 19 cases, have been satisfied with the results. Posterior nasal hemorrhage can be used to inject a large hole into the palate, the patient posterior head back, mouth Zhang, in the maxillary second molar palatal gingival margin to the midline midline, stabbed with No. 5 oral needles, needle tip down; if Molars missing piercing point optional 0.5 cm in front of the soft palate, the alveolar palate and palate suture line
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