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肝病鼻出血500例临床分析
作者:房高丽 吴润泽 王成硕 马爱民 柳月红 张立松 
单位:1.首都医科大学附属北京地坛医院 耳鼻喉科 北京 100015 2.中国人民解放军61046部队 门诊部 北京 100094 3.首都医科大学附属北京同仁医院 耳鼻喉科 北京 100730 
关键词:鼻出血 肝病 
分类号:
出版年,卷(期):页码:2014,6(2):10-12
摘要:

摘要:目的 总结肝病鼻出血的临床特点、易发因素,探讨合适的临床处置及预防办法。方法 回顾性分析500例肝病鼻出血病例,总结相关因素,提出注意事项,交流诊疗体会。结果 500例鼻出血患者中,出血部位以Little’s区多见者53.4%,合并肝硬化、肝癌者75%,多次反复出血者61%,70.6%合并血小板减少及凝血功能障碍。结论 肝病患者鼻出血发生率高,与鼻腔黏膜干燥、血小板减少及凝血功能障碍密切相关,晚期肝病患者发生率明显增高。鼻腔保湿护理及鼻腔填塞仍为主要的防治手段。

Abstract: Objective To summarize the clinical characteristics of the liver disease of nasal bleeding, prone factors, to explore the clinical treatment and preventive measures of the right. Methods Retrospective analysis of 500 cases of liver disease cases of nasal bleeding, summarizes relevant factors, put forward points for attention and communicate diagnosis and treatment experience. Results Of 500 patients with nasal bleeding, bleeding common with Little ‘s area is 53.4%, 75% combined liver cirrhosis and liver cancer, 61% repeated bleeding, thrombocytopenia and coagulation function disorder nasal bleeding incidence was 70.6%. Conclusions High incidence of liver disease patients with nasal bleeding, and the nasal mucous membrane is dry, thrombocytopenia and blood coagulation dysfunction is closely related to the incidence of patients with advanced liver disease increased obviously. Nasal moisturizing care and nasal cavity filling is still as the main means of control.

基金项目:
北京市自然科学基金重点项目(7131006),北京市卫生系统高层次卫生技术人才培养计划(2011-3-043),北京市科技新星计划(2007B035)和北京市优秀人才培养资助计划(2011D003034000027)联合资助
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