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目的 探讨老年人顽固性鼻出血的治疗方法及疗效。 方法 回顾性分析 72例老年人顽固性鼻出血的治疗经过及资料。 结果 72例中 ,5 0例与鼻中隔偏曲有关的患者施行了鼻中隔矫正术并取得良好止血效果 ,其中只有 2例因再次鼻出血复行血管栓塞术止血 ;有 10例无严重心血管疾病患者行数字减影造影及血管栓塞术成功止血 ;另有 12例在鼻内窥镜下检查及止血且效果良好。 结论 与鼻中隔偏曲有关的老年人顽固性鼻出血患者应考虑施行鼻中隔粘骨膜下矫正术 ;数字减影造影及血管栓塞术是一种有效的治疗顽固性鼻出血的方法 ,但要严格掌握适应证 ;在鼻内窥镜下检查及止血 ,效果好且痛苦小 ,尤其适用于老年患者 ,值得推广应用
Objective To investigate the treatment and treatment of intractable nosebleeds in the elderly. Methods Retrospective analysis of 72 elderly patients with refractory epistaxis after treatment and data. Results Of the 72 cases, 50 patients with nasal septal deviation underwent nasal septum corrections and good hemostasis, of which only 2 had hemostasis due to recurrent hemorrhage; 10 had no serious cardiovascular disease Digital subtraction angiography and angioplasty were successfully performed to stop bleeding. Another 12 patients underwent endoscopic sinus surgery and hemostasis with good results. Conclusions Patients with intractable epistaxis associated with deflected nasal septum should be considered in the treatment of nasal septum mucosa. Digital subtraction angiography and vascular embolization are effective methods of treating intractable epistaxis. However, Card; under nasal endoscopy and hemostasis, good effect and little pain, especially for elderly patients, it is worth to promote the use of