【摘要】 目的探讨顽固性鼻出血的临床特征。方法分析1998年1月～2004年12月期间收治的289份鼻出血病例资料,统计年龄、性别、发病季节、伴随疾病,记录出血部位和治疗方法。结果顽固性鼻出血男女发病比例约为2．9：1,高发年龄在40～69岁之间,高发季节为每年10月至次年3月,81．31%患者合并一种或多种全身疾病,33．91%患者合并高血压。出血部位以鼻中隔居多为118例,出血部位不明116例。结论顽固性鼻出血是自身和环境因素综合作用的结果,治疗时应结合其临床特征,充分考虑各种相关因素。更多还原

【Abstract】 OBJECTIVE To explore the epidemiological trends and clinical characteristics of refractory epistaxis.METHODS The charts of 289 cases with refractory epistaxis treated in Peking University Third Hospital from Jan.1998 to Dec.2004 were analyzed.RESULTS Male outnumbered female in a ratio of 2.9:1.The peak incidence of refractory epistaxis occurred in 40～69 years old.The duration from October to March in the following year was the peak hospital presentation of refractory epistaxis.81.31% of cases had one or more systemic diseases.33.91% had a history of hypertension.Nasal septum was the most common site of bleeding(n=118).There were 116 cases in which the bleeding sites were not determined. CONCLUSION Refractory epistaxis is the result from interaction between self and environmental factors.It is necessary to enhance multiple aspects of the works for the prevention and management of refractory epistaxis.更多还原