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[目的]探讨难治性鼻出血常见出血部位及临床治疗方法。[方法]回顾分析经常规前鼻镜检查及规范的前、后鼻孔填塞未能控制的鼻出血患者58例临床资料,分析其出血部位及治疗效果。[结果]出血部位在下鼻道顶部占48.3%(28/58),嗅裂鼻中隔部占37.9%(22/58),中鼻道后上部占8.6%(5/58),部位不明者5.2%(3/58)。1次冶愈53例(91.4%),2次5例(8.6%),随访3月无复发。[结论]应用鼻内镜检查难治性鼻出血鼻腔深部的出血点并进行准确治疗,效果良好。
[Objective] To investigate the common bleeding site and clinical treatment of intractable epistaxis. [Methods] The clinical data of 58 cases of patients with nasal bleeding who were uncontrolled by conventional preanalysis and standardized nostril stuffing were retrospectively analyzed. The bleeding site and therapeutic effect were analyzed. [Results] Bleeding sites accounted for 48.3% (28/58) of the inferior nasal passages, nasal septum of the olfactory fissures accounted for 37.9% (22/58), upper middle of the nasal passages 8.6% (5/58), unknown parts 5.2% (3/58). 53 cases (91.4%) were cured in one time, and 5 cases (8.6%) twice in 2 cases. There was no recurrence in follow-up in March. [Conclusion] Endoscopic nasal endoscopic nasal bleeding in nasal deep bleeding points and accurate treatment, the effect is good.