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我们自1987年3月～1989年10月应用下鼻道填塞术和腭大孔注射法治疗老年心血管病鼻衄患者53例,收到了较为满意疗效,现报告如下。操作方法:先用麻黄素地卡因棉片收敛麻醉鼻腔粘膜,清理鼻内积血,查清出血部位。然后用两块蘸有云南白药粉的明胶海绵填入下鼻道,再用与下鼻道长度相仿的凡士林纱条(内加磺胺或抗生素粉及云南白药粉)4～6条取与下鼻道纵轴平行,逐步细心的嵌入下鼻道及鼻底至填塞严实不留间隙。后端应重点加压防止从后鼻孔脱出。填塞3～5天后抽除,必要时重新更换纱条填塞。腭大孔注射法:用长为5cm的5号针头,在距针尖2.5cm处变成60°角,以便在腭大孔处进针又不致刺入太深而误入颅内或眶
We from March 1987 ~ October 1989 application of nasal cannulation and palatal foramen magnum injection of 53 cases of elderly patients with cardiovascular disease, received more satisfactory curative effect, are as follows. Method of operation: Ephedrine first caffeine cotton anesthesia nasal mucosa convergence, clearing the nasal blood, identify bleeding sites. Then use two pieces of gelatin sponge dipped in Yunnan Baiyao powder into the lower nasal passages, and then with the length of the lower nasal passages Vaseline gauze (plus sulfa or antibiotic powder and Yunnanbaiyao powder) 4 to 6 under the nose Vertical axis parallel to the road, gradually and carefully embedded in the nasal passages and nose to fill the gap without leaving a firm. Backend should focus on pressure to prevent prolapse from the rear nose. Stuffing 3 to 5 days after pumping, if necessary, replace the gauze packing. Palatal foramen: with a length of 5cm needle 5, at a distance of 2.5cm from the tip into a 60 ° angle in order to enter the hole in the palatal hole without piercing too deep and into the intracranial orbital