CAJ | 학술논문

目的探讨舰艇上使用三腔二囊管填塞治疗鼻腔中后部出血的效果.方法治疗组35例,利用三腔二囊管填塞的压迫作用治疗鼻腔中后部出血,对照组30例,用前鼻孔联合后鼻孔凡士林纱条填塞止血方法治疗鼻腔中后部出血.结果治疗组35例均止血成功,患者疼痛小,咽部不适少,其中6例愈后出现鼻腔黏膜糜烂,但均无严重并发症;对照组30例也均止血成功,但患者疼痛大,有明显咽部不适,有26例愈后出现鼻腔黏膜糜烂,有5例抽除纱条后1周内复发鼻出血.结论舰艇上使用三腔二囊管填塞治疗鼻腔中后部出血简便易行,疼痛小,效果良好,适合在舰艇上采用.
목적 탐토함정상사용삼강이낭관전새치료비강중후부출혈적효과.방법 치료조35례,이용삼강이낭관전새적압박작용치료비강중후부출혈,대조조30례,용전비공연합후비공범사림사조전새지혈방법치료비강중후부출혈.결과 치료조35례균지혈성공,환자동통소,인부불괄소,기중6례유후출현비강점막미란,단균무엄중병발증;대조조30례야균지혈성공,단환자동통대,유명현인부불괄,유26례유후출현비강점막미란,유5례추제사조후1주내복발비출혈.결론 함정상사용삼강이낭관전새치료비강중후부출혈간편역행,동통소,효과량호,괄합재함정상채용.
Objective To investigate effects of Sengstaken-Blakemore tubes on epistaxis at mid-back nasal cavity aboard naval vessels. Methods The experimental group consisted of 35 cases treated with Sengstaken-Blakemore tubes for epistaxis at mid-back nasal cavity aboard naval vessels, while the control group was composed of 30 patients, who were treated for epistaxis at the same site with vaseline gauze. Results Hemostasis succeeded in all the 35 cases in the experimental group. Patients suffered less pain and less pharyngeal discomfort, only 6 of them had nasal mucosal erosion after recovery, but without serious complications. Hemostasis also achieved in the 30 cases in the control group, but patients experienced severe pain and obvious pharyngeal discomfort, 26 of them had nasal mucosal erosion after recovery, and 5 of them had epistaxis recurrence one week after removal of vaseline gauze. Conclusions Treatment of epistaxis at the mid-back nasal cavity with Sengstaken-Blakemore tubes aboard naval vessels was simple and easy, with less pain and ideal effect. It was suitable for the treatment of epistaxis aboard naval vessels.