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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years
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Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years

机译：最近6年对1,515例有鼻出血的患者进行的临床研究

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摘要

Aim: This study reviews our clinical experience of patients with epistaxis and discusses proper management. Patients and Methods: We retrospectively investigated 1,515 patients with epistaxis treated in our department between 2005 and 2010. Results: Men over 50 years old predominated. More than half of the patients (n = 828) first visited after consultation hours, and 40% (n = 606) were brought by ambulance. The most common underlying diseases were circulatory diseases (69%, n = 1,047). Antithrombotics were being administered to 23% (n = 345). Kiesselbach's plexus was the most commonly observed bleeding site (51%, n = 769). In 20% (n = 297), no bleeding point was confirmed because hemostasis had been achieved on arrival. Anterior packing was the most common primary treatment, followed by electrocauterization. Hospitalization was required in 2% (n = 30). Re-bleeding occurred within 14 days after primary treatment in 14% (n = 206). Surgical treatment was performed for 5% (n = 11). Conclusions: Patients showing repeated pulsatile arterial bleeding require hospitalization for surgical therapy, although outpatient therapy is sufficient in most cases. A risk of re-bleeding should be considered if patients show unclarified bleeding points and circulatory diseases. (C) 2016 S. Karger AG, Basel
机译：目的：本研究回顾了鼻epi患者的临床经验，并讨论了适当的治疗方法。患者与方法：我们回顾性调查了2005年至2010年间在我科接受治疗的1,515例鼻epi患者。结果：50岁以上的男性居多。咨询时间后，超过一半的患者（n = 828）首次就诊，而40％（n = 606）是由救护车带来的。最常见的基础疾病是循环系统疾病（69％，n = 1,047）。抗血栓药的使用率为23％（n = 345）。凯塞尔巴赫神经丛是最常见的出血部位（51％，n = 769）。在20％（n = 297）中，未确认出血点，因为到达时已实现止血。前包装是最常见的主要治疗方法，其次是电灼。需要住院的比例为2％（n = 30）。在初次治疗后14天内，有14％的患者再次出血（n = 206）。进行了5％的手术治疗（n = 11）。结论：表现出反复搏动性动脉出血的患者需要住院进行手术治疗，尽管在大多数情况下门诊治疗就足够了。如果患者出现不清楚的出血点和循环系统疾病，应考虑再次出血的风险。 （C）2016 S.Karger AG，巴塞尔

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