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鼻出血临床常见,但以鼻、眼出血为主要症状的鼻泪管下段出血却罕见,诊断也颇费周折。本院治疗1例,现报告如下。 患儿,男,8岁。以左鼻腔、左眼反复出血10个月伴重度贫血收住院。10个月前左鼻不明原因间断出血,量少,能自止,无其他不适。后出血渐频,每能自止。家长发现患儿常夜间左眼溢淡红色泪液,晨起左眼裂及眼周有红褐色血痂。白天直立无此现象。起病3个月后偶尔发现大便黑褐色。经多方治疗均无好转。3个月前曾住我院,拟诊左下鼻道顶或鼻泪管下段出血。行左下鼻道顶部搔刮术,仍无效。先后10次输鲜血,总量达3000ml亦未能制止出血和纠正贫血。1991年8月29日再次收入我院。体检:发育正常,
Nasal bleeding is clinically common, but nasal and ocular hemorrhage as the main symptoms of nasolacrimal duct hemorrhage is rare, the diagnosis is also quite troublesome. Hospital treatment in 1 case, are as follows. Children, male, 8 years old. Left nasal cavity, left eye repeated bleeding for 10 months with severe anemia received hospitalization. 10 months ago left nose unexplained intermittent bleeding, less, can stop, no other discomfort. After the bleeding gradually, each stop. Parents often found children with left eye spill red tears at night, morning after the left eye and eyes around the red-brown blood scab. Erect during the day without this phenomenon. 3 months after onset occasionally stool dark brown. After multi-treatment no improvement. 3 months ago lived in our hospital, to be diagnosed at the bottom of the left nasal or nasolacrimal duct bleeding. Row left lower nasal scraping surgery is still invalid. Has 10 times to lose blood, the total amount of 3000ml also failed to stop the bleeding and correct anemia. August 29, 1991 income again in our hospital. Physical examination: normal development,