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目的分析合并肝硬化的鼻出血患者的发病特点,探讨应用医用胶治疗此类患者的可行性与治疗效果。方法回顾性分析北京佑安医院耳鼻咽喉-头颈外科使用医用医用粘合胶治疗合并肝硬化的鼻出血病例,共30例,34侧。治疗方法为应用医用胶喷涂出血处,观察时间均为72 h,72 h后进行疗效判定,疗效分为显效、有效、无效3种。结果使用医用胶喷涂法治疗合并肝硬化的鼻出血病例30例,其中显效25例,一次性治愈率为83.3%;有效4例;无效1例。总有效率为96.6%。2月后复查,鼻腔出血点黏膜生长平滑。结论医用胶局部喷涂治疗鼻出血,方法操作安全、简便,疗效快,患者痛苦小,可取得理想治理效果。该方法与胶原蛋白填塞相结合,对于鼻腔黏膜干燥、菲薄、易糜烂的合并肝硬化的鼻出血患者有较好疗效。
Objective To analyze the incidence of epistaxis in cirrhotic patients with cirrhosis, and to explore the feasibility and therapeutic effect of medical glue on such patients. Methods A retrospective analysis of Beijing You’an Hospital otolaryngology - head and neck surgery using medical adhesive plaster in the treatment of nasal hemorrhage cases with cirrhosis, a total of 30 cases, 34 sides. Treatment methods for the application of medical glue spray bleeding, observation time was 72 h, 72 h after the judgment of efficacy, the effect is divided into markedly effective, effective, ineffective 3. Results There were 30 cases of nasal hemorrhage with cirrhosis combined with medical glue spraying, of which 25 cases were markedly effective, the one-time cure rate was 83.3%, 4 cases were effective and 1 case was ineffective. The total effective rate was 96.6%. After 2 months of review, nasal mucosa bleeding point smooth growth. Conclusion The local application of medical glue to treat epistaxis is safe and easy to operate, with quick curative effect and less pain in patients, which can achieve the ideal treatment effect. The method combined with collagen packing, for nasal mucosa dry, meager, easy to erosion of patients with epistaxis of cirrhosis has a good effect.