CAJ | 학술논문

目的：探讨鼻内镜下治疗顽固性鼻出血的治疗措施。方法对80例老年顽固性鼻出血患者在鼻内镜下寻找出血点，并行双极电凝结合填塞止血纱布止血。结果77例找到明确出血点，3例未见明确出血点。一次治愈75例，5例伴有高血压病的患者术后仍有少量出血，经控制血压后治愈。术后未出现并发症。结论鼻内镜下双极电凝配合填塞止血纱布能有效治疗顽固性鼻出血。
목적：탐토비내경하치료완고성비출혈적치료조시。방법대80례노년완고성비출혈환자재비내경하심조출혈점，병행쌍겁전응결합전새지혈사포지혈。결과77례조도명학출혈점，3례미견명학출혈점。일차치유75례，5례반유고혈압병적환자술후잉유소량출혈，경공제혈압후치유。술후미출현병발증。결론비내경하쌍겁전응배합전새지혈사포능유효치료완고성비출혈。
Objective:To evaluate the endoscopic treatment efficacy of intractable epistaxis. Methods:Eighty elderly patients with intractable epistaxis were checked by Nosa endoscope and subsequently treated with bi-Polar electro-coagulation combined with packing hemostasia gauze once the hemorrhagic focus was detected.Results:Hemorrhagic focus was defined under nosal endoscope in 77 eases with exact hemorrhagic focus not found in 3 individuals. Seventy-five patients were cured on first treatment.Five patients with hypertension stil had slight bleeding after treatment, but were final y cured when blood pressure was control ed.No complication was found in al individuals. Conclusions:The nasal endoscope can locate the epistaxis focus precisely;bi-polar electro-coagulation is an effective means for treatment of intractable epistaxisin the elderly.