Nosebleeds are one of the most common diseases in ENT emergency department and a common symptom of many diseases. Especially in the dry and cold winter, the peak of nosebleeds visits as scheduled.
Recently, Mr. Qin has been troubled by repeated nasal bleeding. Because the bleeding point is relatively hidden, coupled with the deviation of the nasal septum and the obvious narrowing of the nasal cavity, it has obviously increased the difficulty of finding the bleeding point. After receiving the consultation, the experienced ENT director Xu Weihua found a suspicious bleeding point behind Mr. Qin’s left olfactory groove near the top of the nasal cavity through a children’s endoscope. one of the parts. After electrocoagulation to stop the bleeding, Mr. Qin stayed in the hospital for observation for 3 days without further bleeding and was discharged smoothly.
Director Xu Weihua introduced that the rupture of blood vessels in the nasal mucosa like Mr. Qin’s is one of the most common causes of epistaxis. Finding the bleeding point and performing vascular coagulation to stop bleeding is the most effective treatment. Diagnosis and treatment of epistaxis varies depending on the location of the bleeding. Especially for venous bleeding, when patients arrive at the hospital, there is often no bleeding. When examining the nasal cavity, there is no obvious difference between the bleeding site and the normal mucosa, which brings greater difficulty to finding the bleeding point. Therefore, individual patients with epistaxis often need to repeatedly go to the ENT endoscopy room or operating room to find the bleeding point.
The amount of bleeding from nosebleeds varies widely, and severe nosebleeds can be life-threatening. If there is repeated nosebleed or blood in the nose, it is necessary to go to the ENT department of the regular hospital for examination to find the bleeding point. At the same time, the nosebleed caused by diseases such as nasal cavity and sinus tumor, nasopharyngeal fibrovascular tumor, and nasopharyngeal cancer should be excluded. Bleeding gums, skin bruising, bruising and other symptoms should be alert to blood system diseases.
Director Xu Weihua suggested preventing epistaxis from the following aspects:
■ Dry weather or open heating and air conditioning at home When consuming, pay attention to keep the air humidified, it is recommended to use an air humidifier to keep the indoor humidity.
■ Maintain good living habits, drink more water, eat more fruits and vegetables and nutritious and light, easy to digest and absorb food, supplement vitamin C, B1, B2, etc.; Reduce or avoid eating hot and spicy food.
■ Do not pick your nose, blow your nose forcefully, or stuff foreign objects into your nasal cavity. Bacterial cotton swab dipped in saline), take it out gently, do not forcibly dig it out, to prevent damage to the nasal mucosa.
■ Hypertensive patients should take antihypertensive drugs regularly and regularly as instructed by doctors, and blood pressure should be monitored regularly; patients who take aspirin, clopidogrel and other anticoagulants for a long time should visit the cardiovascular department regularly See a doctor, monitor blood coagulation function and other related indicators.
Wang Qiuli (Otolaryngology, Putuo District Central Hospital, Shanghai)