出血部位与临床数据之间的关系:在8年内对646例表病例的经验
Tianjiao Jiang1, Jinzhuang Yu1, Qian Zhang1
1Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong University, 4 Duanxing West Road, Jinan, 250022, Shandong, China.
概括
大多数表 (鼻血) 流血部位是可以识别的. 老年和心血管疾病史与未确定的出血部位相关,而较低的肌肉是最常见的来源.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 医学研究 医学研究
背景情况:
- 鼻出血 (epistaxis) 是一种常见的需要住院治疗的病症.
- 确定确切的出血部位对于有效的管理至关重要.
- 影响出血部位识别和特征的因素仍然是临床兴趣的领域.
研究的目的:
- 在住院表症患者中调查出血部位的解剖位置.
- 探索确定的出血部位与患者临床特征之间的关系.
- 为了确定未识别出血部位的预测因子.
主要方法:
- 对646名住院表患者的数据进行了回顾性审查.
- 分析患者的人口统计数据,病史和确定出血位置.
- 统计分析,包括后勤回归,以确定重要的关联.
主要成果:
- 在61.1%的患者中确定了出血部位;38.9%的患者有未识别的部位.
- 年龄大于50岁,有心血管疾病史的患者在患有未识别出血部位的患者中更为频繁.
- 最常见的出血部位是下腔 (32.9%),其次是嗅觉区域 (25.8%) 和鼻腔隔膜 (20.3%).
- 年龄,高血压,心血管疾病和鼻塞是不同出血部位的重要预测因素.
结论:
- 大多数表出血部位可以识别.
- 高龄和心血管疾病史与未确定的出血部位有关.
- 临床特征,如年龄,高血压,心血管疾病和鼻包装影响出血部位的风险,指导内镜检查和治疗计划.
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