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目的 :探讨老年人血压高低与鼻出血、止血、及其它相关因素 ,寻求由高血压所致老年鼻出血的更有效治疗手段。方法 :对 15 8例由高血压诱发老年鼻出血的临床特点、出血时间、出血部位、止血方法及中西医结合治疗的观察研究。结果 :血压的升高和降低与鼻出血呈正相关关系 ,血压降至正常 ,出血例数为零。冬季发病占85 44% ;出血部位在鼻腔后部者占 5 9 5 0 % ;情绪紧张有再出血顾虑者占 70 91%。结论 :采取以鼻腔填塞配合中西药治疗的综合性措施止血总有效率达 99 35 %。
OBJECTIVE: To investigate the relationship between blood pressure, epistaxis, hemostasis and other related factors in the elderly to seek more effective treatment of senile epistaxis caused by hypertension. Methods: Fifteen cases of senile epistaxis induced by hypertension were observed, including clinical features, bleeding time, bleeding site, hemostasis method and the combination of TCM and Western medicine. Results: There was a positive correlation between the increase and decrease of blood pressure and epistaxis, the blood pressure dropped to normal, and the number of bleeding was zero. The incidence of winter accounted for 85 44%; bleeding in the rear of the nasal cavity accounted for 5950%; emotional tension re-bleeding accounted for 70 91%. CONCLUSION: The total effective rate of hemostasis is 99.35% with the combination of nasal packing and western medicine treatment.