Epistaksisli Hastaya Tedavi Yaklaşımımız

Abstract

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.

Keywords

• Epistaksis,Epidemiyoloji,Tedavi

Our Therapeutic Approach to Patients with Epistaxis

Abstract

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.

Keywords

• Epistaxis,Epidemiology,Treatmen

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