第81回日本耳鼻咽喉科学会総会学術講演会パネルディスカッション耳鼻咽喉科日常診療の将来日常よくみられる鼻出血とその処置:専門的処置の見なおし

概要

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A questionnaire on the management of nasal hemorrhage was conducted in 511 otorhinolar-yngological clinicians. The common procedures to control the hemorrhage were the insertion of gauze in 67.5%, chemical cauterization in 44.4%, electrocauterization in 20.5%, the insertion of a Bellocq tampon in 11.0% and balloon catheterization in 2.7%. Although the balloon catheterization and electrocoagulation proved to be markedly effective, the incidence of practical application was low.<BR>The scarification of the submucous perichondrium was employed in 17 subjects with incontrollable spontaneous eruptive hemorrhage, and the results were satisfactory.<BR>In order to clarify the proper selection of hemostatic methods, the nasal hemorrhage was pathologically classified (Grade I-V) according to the difficulty of control.<BR>For the hemostasis of incontrollable subjects, we pointed out a target in introducing new medical techniques.
耳鼻と臨床会の論文