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Pediatric epistaxis.

机译:小儿鼻出血。

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摘要

OBJECTIVES/HYPOTHESIS: Otolaryngologists are frequently consulted for the evaluation and treatment of pediatric epistaxis. There is a lack of consensus as to the optimal approach to this problem. This study evaluated an approach used to evaluate and treat patients referred on an outpatient basis. STUDY DESIGN: Retrospective study. METHODS: Charts from 90 patients referred for the treatment of epistaxis were reviewed. RESULTS: Anemia was identified in 22% of patients. An abnormal coagulation study was identified in 7.8% of patients. Computed tomography (CT) imaging of the sinuses was obtained in nearly 90% of patients and revealed no suspicious masses. Opacification of the sinuses consistent with sinusitis was commonly seen. The majority of cases were resolved by the first follow-up visit with a topical nasal emollient. CONCLUSIONS: The outpatient evaluation of epistaxis should include a screen for anemia and coagulopathy. Routine CT imaging of the sinuses is unhelpful and is not recommended. The majority of cases are easily treated with rehydration of the nasal mucosa. Consideration should be given to rhinosinusitis as a co-existing factor in patients with epistaxis.
机译:目的/假设:耳鼻喉科医生经常被咨询评估和治疗小儿鼻出血。对于解决此问题的最佳方法尚缺乏共识。这项研究评估了一种用于评估和治疗门诊患者的方法。研究设计:回顾性研究。方法:回顾了90例接受鼻referred治疗的患者的病历。结果:在22%的患者中发现贫血。在7.8%的患者中发现了一项异常的凝血研究。在近90%的患者中获得了鼻窦的计算机断层扫描(CT)图像,并且没有发现可疑的肿块。与鼻窦炎一致的鼻窦不透明化是常见的。大多数病例通过局部鼻腔润肤剂的首次随访得到解决。结论:鼻出血的门诊评估应包括贫血和凝血病筛查。鼻窦的常规CT成像无济于事,不建议使用。多数情况下,鼻粘膜补液很容易治愈。鼻鼻窦炎应作为鼻epi患者的共存因素考虑。

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