1985年1月～1990年12月间,454例鼻衄病人入院治疗,其中男性266例,女性188例,年龄5～90岁。以最初经前鼻腔填塞后出血停止者为A组;47例因前鼻腔堵塞出血未能控制而诊断为难治性鼻衄作前、后鼻腔堵塞止血为B组;失败30例,除1例上颌窦绒毛膜癌外,15例作颌内动脉结扎(IMAL)为C组;14例作IMAL和筛前动脉凝结(AEAC)相结合为D组。动脉闭塞后,去除鼻腔填塞物检查鼻腔出血点。C组前鼻腔填塞物留置24小时,D组未留置填塞物。本组鼻衄原因凝血异常4例、肿瘤3例、鼻息肉3例、血管瘤1例、外伤22 Between January 1985 and December 1990, 454 patients with rhinitis were admitted to hospital, including 266 males and 188 females, aged 5 to 90 years. A group of patients stopped bleeding after the first anterior nasal packing; 47 cases were diagnosed as intractable epistaxis before and after nasal congestion due to uncontrollable hemorrhage of the nasal passages; Group B, with blockage of 30 cases, except one case of maxillary In addition, 15 cases of intracranial arterial ligation (IMAL) were group C, and 14 cases of IMAL combined with anterior ethmoidal artery (AEAC) group D. Artery occlusion, removal of nasal packing check nasal bleeding. Group C before the nasal packing for 24 hours, D group did not retain the stuffing. This group of epistaxis causes coagulation abnormalities in 4 cases, 3 cases of tumor, 3 cases of nasal polyps, 1 case of hemangioma, trauma 22