CAJ | 학술논문

目的：探讨乙型肝炎肝硬化患者发生鼻出血的临床特征。方法：收集我院2010年4月~2012年10月诊治的39例合并乙型肝炎肝硬化的鼻出血患者病例资料，统计分析发病年龄、性别、伴随疾病、出血月份、出血时刻、出血部位及出血侧别等指标。结果：39例乙型肝炎肝硬化鼻出血患者男女发病比例约为4.6：1，发病年龄25~76岁，平均年龄50.3±12.3岁。鼻出血高发月份集中于2~4月和9~10月。高发时刻集中于8：00~12：00时。出血侧别以双侧居多，占41.0%。出血部位以鼻中隔前下居多，占59.0%。结论：乙型肝炎肝硬化发生鼻出血是自身和环境因素综合作用的结果，其年龄分布、性别、出血侧别及时间特性有其自身特征。
목적：탐토을형간염간경화환자발생비출혈적림상특정。방법：수집아원2010년4월~2012년10월진치적39례합병을형간염간경화적비출혈환자병례자료，통계분석발병년령、성별、반수질병、출혈월빈、출혈시각、출혈부위급출혈측별등지표。결과：39례을형간염간경화비출혈환자남녀발병비례약위4.6：1，발병년령25~76세，평균년령50.3±12.3세。비출혈고발월빈집중우2~4월화9~10월。고발시각집중우8：00~12：00시。출혈측별이쌍측거다，점41.0%。출혈부위이비중격전하거다，점59.0%。결론：을형간염간경화발생비출혈시자신화배경인소종합작용적결과，기년령분포、성별、출혈측별급시간특성유기자신특정。
Objectiv:To explore the clinical characteristics of epistaxis in patients with hepatitis B-related cirrhosis.Methords:Thirty-nine patients with hepatitis B-related cirrhosis presenting with epistaxis in Beijing You’an Hospital from April 2010 to October 2012 were entered into a retrospectively maintained database. Results:Male outnumbered femaIe in a ratio of 4.57:1. The mean age was 50.3±12.3years (range, 25-76 years). The peak incidence of epistaxis occurred in 2~4 month and 8~10 month respectively. 24h pat ern of epistaxis showed a primary peak in the morning. Laterality of epistaxis were more common in both sides, which was accounted for 41%. Anterior-inferior part of nasal septum, accounting for 59%,was the most common site in bleeding. Conclusion:Epistaxis in patients with hepatitis B-related cirrhosis is the result from interaction between self and environmental factors.Epistaxis in patients with hepatitis B-related cirrhosis also had its peculiar presentation.