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由54例自发性鼻出血的成年病人组成研究组。经作者收入院的28例为A组,用鼻内窥镜检查和电灼处理;由其他医生收入院的26例为B组。对二组中的前鼻出血病人未作进一步研究。A组28例中16例(57%)为前鼻出血,其余12例为后鼻出血,年龄为35～84岁,平均57岁,经鼻内窥镜检查后发现出血位于中隔后部8例、中鼻道2例、下鼻道1例、鼻底1例。局部注射1%利多卡因(加少许肾上腺素)0.5ml后电灼,10例出血停止,2例经内窥镜引导用“微型填塞”直接加压止血。内窥镜检查后2
The study group consisted of 54 adult patients with spontaneous nosebleeds. Twenty-eight cases were admitted to the study group A, with nasal endoscopy and electrocautery; 26 cases from other doctors were hospitalized in group B. No further study was performed on patients with anterior rhinorrhea in the two groups. A group of 28 patients, 16 cases (57%) of the former nose bleed, and the remaining 12 cases of post-nasal hemorrhage, aged 35 to 84 years, mean 57 years old, after nasal endoscopy found bleeding in the posterior septum 8 For example, 2 cases of middle nasal passages, 1 case of inferior nasal passages, and 1 case of nasal floor. Local injection of 1% lidocaine (plus a little epinephrine) 0.5ml electrocautery, 10 cases of bleeding stopped, 2 cases of endoscopic guidance with “mini-padded” direct compression to stop bleeding. After endoscopy 2