Epistaxis (nosebleed) Etiology: 1、 Local causes: 1) Trauma: mucosa laceration blood vessel injur 2) Inflammation of nose and sinus 3) Diseases of septum 4) Tumor: nasal cavity tumor sinus tumor angiofibroma of nasopharynx
Epistaxis (nosebleed) Etiology: 1、 Local causes: 1)Trauma:mucosa laceration blood vessel injury 2)Inflammation of nose and sinus 3)Diseases of septum 4)Tumor:nasal cavity tumor sinus tumor angiofibroma of nasopharynx
2、 General factors Systematic disease Ascension of arterial pressure and venous pressure, sfunction of coagulation Change of blood vessel tension
2、 General factors Systematic disease—— Ascension of arterial pressure and venous pressure, Dysfunction of coagulation, Change of blood vessel tension
1) Acute epidemical diseases 2) Cardiovascular diseases 3) Hemological diseases 4) Nutrition defect:VitC、K、 P or calciun 5) Liver, kidney diseases and rheumatic fever 6) Poison: phosphorus, mercury, arsenic, benzene 7 Osler's disease hemorrhagic familial telangiectasia 8) Endocrinic imbalance
1) Acute epidemical diseases 2) Cardiovascular diseases 3) Hemological diseases 4) Nutrition defect:VitC、K、P or calcium 5) Liver, kidney diseases and rheumatic fever 6) Poison :phosphorus, mercury, arsenic, benzene 7) Osler’s disease hemorrhagic familial telangiectasia 8) Endocrinic imbalance
TTreatment 1 Fundamental treatment Emergency sedation estimate the bleeding amount keep proper posture No blood ingest 2、 Hemostatic methods 1)Identify the bleeding site pinch the nostrils
Treatment: 1、 Fundamental treatment Emergency: sedation estimate the bleeding amount keep proper posture No blood ingest 2、 Hemostatic methods 1)Identify the bleeding site pinch the nostrils