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目的探讨鼻内镜下高频电凝治疗顽固性鼻出血的临床疗效。方法回顾性分析2010年7月～2012年7月在我院诊治的51例顽固性鼻出血患者临床资料。结果本组53例患者均一次性止血成功，住院5～7d后出院。全部患者出院后随访6个月均无复发，无鼻中隔穿孔及鼻腔粘连等并发症出现。结论鼻内镜下高频电凝治疗顽固性鼻出血可明确找到出血部位，因其操作简单、止血效果确切，患者术后恢复快且不良反应少，值得临床广泛应用。“,” Objective Under nasal endoscopic high-frequency electric coagulation treatment the clinical effect of the treatment of refractory nasal bleeding. Methods A retrospective analysis from 2010 July to 2012 July, 51 cases of refractory nasal bleeding in patients with clinical data in our hospital. Asaresult This group of 53 patients were al succeeded in bleeding, and in 5 ~ 7 d after hospital discharge. Al patients were folowed up for 6 months after discharge, no recurrence, no nasal septum perforation, nasal cavity adhesion complications, etc. Conclusion High-frequency electric coagulation under nasal endoscopy for the treatment of intractable epistaxis can clearly find hemorrhage, because of its simple operation, hemostatic effect, rapid postoperative recovery and less adverse reactions, it is worthy of wide clinical application.