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我院收2002年6月~2004年5月,收治了37例老年高血压并发鼻出血患者的治疗体会,现报告如下。37例高血压并发鼻出血患者中,男21例,女16例,年龄53~76岁,平均65.3岁,入院时有高血压,血压为180~220/90~110 mm Hg。35例为一侧出血,2例为双侧出血。32例位于鼻腔中后段,5例位于鼻腔前段近鼻顶部。常规给予局部凡士林油纱条或纱球压迫止血,口腔清理完毕后予卡托普利12.5~25 mg 舌下含服,同时予卡托普利12.5~25mg 口服。
Our hospital received June 2002 ~ May 2004, admitted to 37 cases of elderly patients with hypertension and nosebleed experience, are as follows. Among 37 hypertensive patients with nasal hemorrhage, there were 21 males and 16 females, ranging in age from 53 to 76 years with a mean age of 65.3 years. Hypertension and blood pressure were 180-220 / 90-110 mm Hg on admission. 35 cases of bleeding on one side, 2 cases of bilateral bleeding. 32 cases were located in the posterior segment of the nasal cavity and 5 were located near the top of the nasal cavity in the anterior segment of the nasal cavity. Routine given local Vaseline gauze or gauze ball oppression hemostasis after oral cleaning to captopril 12.5 ~ 25 mg sublingual, while captopril 12.5 ~ 25mg orally.