[Clinical analysis of 872 cases with epistaxis and application of hypothermy plasma]

Objective:To explore the best method to cure nasal bleeding based upon the patients age, complications, bleeding reasons, bleeding site. Method:A retrospective study of 872 patients with a diagnosis of nasal bleeding in our hospital.The location of bleeding was determined according to the specialized examination,nasal endoscopy and surgical exploration, and the reasons of epistaxis and its characteristics were also analyzed according to the history, biochemical examination, physical examination, imaging examination. Result:The case number significantly increased with age. The main reason for nasal bleeding were deviation of nasal septum, hypertension, taking anticoagulant drugs, vascular tumor and diabetes mellitus. The main bleeding sites are the unknown parts, the olfactory cleft, little area, meatus nasi inferior, basis nasi and spur. The main methods for the treatment of nosebleed are endoscopic surgery and nasal packing. Conclusion:Because of the different nasal bleeding reasons and bleeding sites among individuals, individualized treatment methods are required to cure nasal bleeding. With the advantages of the clear vision, accurate location, fast stop bleeding,endoscopic method has become the first treatment for nosebleed.