Clinical analysis of refractory epistaxis
10.16066/j.1672-7002.2024.09.009
- VernacularTitle:难治性鼻出血的临床分析
- Author:
Liu CHEN
1
,
2
;
Hanqing SUN
;
Ruhuan ZHOU
;
Yanbing ZHANG
;
Kunjun LI
;
Feng CAO
Author Information
1. 安徽医科大学附属合肥医院(合肥市第二人民医院)耳鼻咽喉头颈外科,安徽 合肥 230011
2. 安徽医科大学第五临床医学院,安徽 合肥 230032
- Keywords:
Epistaxis;
Electrocoagulation;
Hemostasis,Endoscopic;
cure rate
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(9):585-588
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the bleeding site,clinical features,treatment methods and curative effect of difficult-to-control epistaxis. METHODS The clinical data of 127 patients with difficult-to-control epistaxis admitted for treatment were retrospectively analyzed to investigate the common bleeding sites,clinical features,and curative effect. RESULTS There were statistically significant differences in the bleeding sites among patients of different age groups(P=0.000),whether they were combined with hypertension 2,3 grades(P=0.030),and whether patients taking long-term anticoagulants(P=0.000). Among the enrolled patients,14 patients were successful in the secondary hemostasis. Among the patients with two successful bleeding stops,the one-time cure rate of patients with hypertension 2,3 grades was significantly different from that of patients with hypertension 1 grade and non-hypertension(P=0.000). CONCLUSION Male patients with difficult-to-control epistaxis are more than female patients. The common bleeding sites are related to age,hypertension 2,3 grades,and long-term use of anticoagulants. Nasal endoscopic electrocoagulation is the preferred treatment method. The cure rate of electrocoagulation is related to blood pressure,and blood pressure control is necessary for patients with poor blood pressure control.
