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Epistaxis in Kaduna, Nigeria: A review of 101 cases in a resource constrained setting

机译:尼日利亚卡杜纳的实践:在资源有限的情况下对101例病例进行了回顾

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Epistaxis is defined as hemorrhage from the nostril, nasal cavity, or nasopharynx. Sufferers and clinicians may develop significant anxiety despite the fact that majority of patients may be treated successfully by the first attending physician. The objective of this study was to review the incidence, common etiological factors and management modalities of epistaxis in a resource constrained setting. It is a retrospective review of 101 patients seen with epistaxis over 7 years at National Ear Care Centre, Kaduna from January 2002 to December 2008. The age of patients reviewed ranged between 2 and 75 years. An incidence of 0.5% was recorded and slight male preponderance with a male:female ratio of 1.4:1. Dry-hot and cold harmattan weather had the highest prevalence. Trauma and infections were the main etiological factors identified, but over 40% had no discernable cause. About 25% presented with active bleeding and 10.98% required admission. All were managed conservatively. Less than 2% had blood transfusion. Epitaxis is a common rhinological emergency that requires prompt intervention to reduce morbidity and prevent mortality. Conservative intervention was a satisfactory approach in this study.
机译:鼻出血定义为鼻孔,鼻腔或鼻咽部的出血。尽管大多数患者可以由第一位主治医生成功治疗,但患者和临床医生可能会出现严重的焦虑情绪。这项研究的目的是审查资源受限的情况下鼻epi的发生率,常见病因和管理方式。该研究回顾了2002年1月至2008年12月在卡杜纳的National Ear Care Center(全国耳朵护理中心)对101例7年以上出现鼻epi的患者进行的回顾。患者的年龄介于2至75岁之间。记录的发病率为0.5%,男性占优,男性与女性的比例为1.4:1。干热和冷的harmattan天气的患病率最高。创伤和感染是确定的主要病因,但超过40%的病因没有明显原因。约有25%出现活动性出血,而10.98%的患者需要入院。所有人都受到保守管理。输血少于2%。 Epitaxis是一种常见的流变急症,需要及时干预以减少发病率并防止死亡。保守干预是这项研究中令人满意的方法。

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