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鼻中隔粘膜列氏区出血为耳鼻喉科常见疾病。我科1978~1982年共收治鼻衄患者36例,其中30例为鼻中隔列氏区出血,原因是鼻部血管末梢在列氏区形成一个毛细血管网状丛,且其位置在鼻腔前部易受外界干燥空气及化学气体等刺激引起毛细血管扩张、炎症而致鼻衄。局部检查为列氏区粘膜变薄、充血、血管扩张及粘膜表层糜烂,甚至见点状出血面,表面附有少许薄膜样分泌物及血痂等。这类患者全身系统及血液生化检查常无明显异常改变。 30例列氏区鼻衄患者中24例作了鼻中隔粘膜下剥离术,都获得了较好的效果,手术
Nasal septum lining area bleeding is a common disease of otolaryngology. From 1978 to 1982, we treated 36 cases of patients with epistaxis in total, of which 30 cases were bleeding in the region of the nasal septum. The reason was that the nasal end of vessels formed a capillary network of reticular plexus in the Rhesus area and its location was in the front of the nasal cavity Affected by external dry air and chemical gases and other stimuli caused by telangiectasia, inflammation caused by epistaxis. Local examination of the columnar area mucosal thinning, congestion, vasodilation and mucosal surface erosion, or even see the punctate bleeding surface with a small film-like secretions and blood scab and so on. Such patients often have no significant abnormalities in systemic and blood biochemical tests. Twenty-four patients with Rhinosinusitis in 30 patients underwent nasal septum submucosal dissection, all achieved good results. Surgery