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目的:对781例鼻腔前部出血患者行烧灼治疗,以观察临床效果。方法:在额镜照明下清出鼻腔里的血痂及血凝块,分泌物,下鼻甲前下端无大量活动性出血者无需1%麻黄素滴鼻液收缩血管及鼻黏膜,中鼻甲前下端,下鼻道前端,利特尔区出血需1%麻黄素滴鼻液收缩血管及鼻黏膜。待出血停止后予1%丁卡因棉片敷贴于出血点及周围黏膜。麻醉生效后,予薄生理盐水棉片贴于鼻孔,鼻前庭,鼻阈间接喉镜末端镜柄易触及处,以避免烫伤皮肤及黏膜,之后予间接喉镜柄末端置于酒精灯外焰加热约1分钟后迅速将间接喉镜柄末端压在出血点约2秒钟后取出。术后创口予金霉素眼膏涂擦,术后抗炎治疗。结果:术后3天复查,721例未见出血,58例出血较前明显好转,再次烧灼后治愈。2例下鼻道前端出血无效,之后改行微波治疗后治愈。
Objective: To treat 781 cases of nasal anterior hemorrhage in patients with burn treatment to observe the clinical effect. Methods: In the frontal mirror, clear the blood clots in the nasal cavity and blood clots, secretions, the lower end of the inferior turbinate before a large number of active bleeding without 1% ephedrine nasal constriction of blood vessels and nasal mucosa, middle turbinate front and lower ends , The front of the lower nasal tract, Litle area need 1% ephedrine nasal drops of blood vessels and nasal mucosa. After stopping bleeding to 1% tetracaine cotton patch applied to the bleeding and the surrounding mucosa. Anesthesia effect, the thin saline saline affixed to the nostrils, nasal vestibule, nasal endoscopic laryngoscope easy to reach the end of the handle, in order to avoid scalding the skin and mucous membranes, and then to the end of indirect laryngoscope handle placed in alcohol lamp flame heating Immediately after about 1 minute, press the end of the indirect laryngoscope handle against the bleeding point for about 2 seconds before removing it. Postoperative wounds ointment rub ointment, anti-inflammatory treatment after surgery. Results: Three days after the operation, no bleeding was seen in 721 cases, and 58 cases had a significant improvement in bleeding compared with those before. 2 cases of inferior nasal anterior hemorrhage ineffective, after switching to microwave cure.