目的探讨鼻腔出血的常见部位及各种止血方法的优缺点,寻找一种有效、安全、痛苦较小的治疗法。方法回顾性分析110例收治住院的重度鼻出血病人的出血部位,治疗方法。结果鼻后部出血者76例(69.1%),前部出血者14例(12.7%),不明部位出血者20(18.2%)。40例(36.4%)病人采用鼻内镜下烧灼止血方法,效果肯定;70例(63.6%)病人采用其他方法止血,虽达到治疗目的,但病人痛苦较大,或者花费较多。结论鼻窦镜下查明出血点,采用烧灼止血的方法是鼻出血较好的治疗措施。 Objective To explore the common site of nasal bleeding and the advantages and disadvantages of various hemostatic methods, looking for an effective, safe, less painful treatment. Methods Retrospective analysis of 110 cases of hospitalized patients with severe epistaxis bleeding site, treatment. Results 76 cases of nasal hemorrhage (69.1%), 14 cases of anterior bleed (12.7%) and 20 (18.2%) of unknown parts of hemorrhage. In 40 patients (36.4%), endoscopic nasal endoscopic cauterization was used, and the effect was confirmed. Seventy patients (63.6%) used other methods to stop bleeding, but the treatment was more painful or costly. Conclusion Sinusoscopy to identify bleeding points, the use of cautery to stop bleeding is a better method of treatment of epistaxis.