Epistaksisli Hastaya Tedavi Yaklaşımımız

Yıl 2017, Cilt: 2 Sayı: 3, 21 - 28, 15.12.2017

İbrahim Hıra Mehmet Tofar Mustafa Sahin Altan Kaya Cemil Mutlu İbrahim Özcan

Öz

Amaç

Epistaksli hastaların
epidemiyolojisini, etiyolojik faktörlerini ve tedavi protokollerini değerlendirmeyi
amaçladık.

Gereç
ve Yöntem

Çalışma, Ocak 2015 ile
Haziran 2017 tarihleri arasında geriye dönük olarak planlandı. Hastaların
kayıtları incelendi ve gerekli bilgiler elde edildi. Tüm hastalar yaş,
cinsiyet, ilişkili tıbbi hastalıklar, ilaçlar, travma ve doğrudan
tanımlanabilen nedenler açısından değerlendirildi. Tedavi protokolleri
incelendi.

Bulgular

Çalışma 3-86 yaş
arasındaki 2248 hastayı içermektedir. 0-20 yaş arasında 764 vaka (% 34), 20-50
yaş aralığında 540 vaka (% 24) ve 50 yaşın üzerinde 944 (% 42) vaka
bulunmaktadır. 1163 olgu (% 51.73) erkek, 1085 olgu (% 48.27) kadındı. En sık
görülen lokal etyolojik faktör, Little bölgesinde yüzeyel dilate damarlardı.
Çalışmada görülen ilk üç predispozan faktör; 910 olgu (% 40.48) idiyopatik, 786
olguda (% 34.96) kardiyovasküler nedenler (hipertansiyon, arteryoskleroz vb.),
284 olguda (12.63) travma vardı. Tedavi protokolleri arasında en sık kullanılanlar
kimyasal veya elektro koagülasyon (% 54.04), anterior tampon (% 43), adrenalin
ve pantokain pamuk tampon (% 18) idi. Dokuz hastaya (% 0,36) cerrahi tedavi
uygulandı.

Sonuç

Episaksis yönetiminde en
basit yöntemin uygulanması hastanın yaşam kalitesini asgari düzeyde
etkilemektedir. Nadiren hayatı tehdit edici derecede yoğun olmasına rağmen
nazal kompresyon ve adrenalin pantokainli pamuklu bez gibi birincil tedavi
yöntemleriyle tedavi edilebilir.

Anahtar Kelimeler

Epistaksis, Epidemiyoloji, Tedavi

Our Therapeutic Approach to Patients with Epistaxis

Öz

Purposes

We aimed to evaluate
epidemiology, etiologic factors and treatments protocols of patients with epistaxis.

Material
and Method

The trial was planned
retrospectively between January 2015 and June 2017. Records of the patients
were examined and the necessary information was obtained. All patients were
evaluated for age, sex, associated medical diseases, medications, trauma, and
directly identifiable causes. Treatment protocols were examined.

Results

The study includes 2248
patients between 3-86
years. 764 cases (%34) were between 0-20 age, 540 cases (%24) between 20-50 age
and 944 (%42) case were ≥50 age. 1163 cases
(51.73%) were males and 1085 (48.27%) females. The most common local
etiological factor was superficial dilated vessels in Littles area. In the
study first three predisposing factor; 910 cases (40.48%) idiopathic, 786 cases
(34.96%) cardiovascular causes (hypertension, arteriosclerosis, etc.),284 cases
(12.63) were trauma. Among the treatment protocols, chemical or electro
coagulation (54.04%) anterior packaging (43%), adrenalin cotton pad and
pantocaine (18%) were the most commonly used. Nine patients (0,04%) underwent
surgical treatment.

Conclusion

Management of
epistaxis, the implementation of the simplest method, minimally affecting the
life quality of the patient. Rarely, though it can be so intense as to be life
threatening, it can often be treated with primary treatment modalities such as
nasal compression and adrenalin cotton pad with pantocaine.

Anahtar Kelimeler

Epistaxis, Epidemiology, Treatmen

Kaynakça

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