Epistaxis management: is medical intervention required for inactive epistaxis?

Yıl 2014, Cilt: 24 Sayı: 4, 211 - 216, 25.09.2014

Mustafa Cenk Ecevit Taner Kemal Erdağ Seçil Uçar Nesibe Sönmez Demiryoğuran Ahmet Ömer İkiz Özgür Karcıoğlu Semih Sütay

Öz

Objectives: This study aims to discuss the management and the follow-up approach in patients with epistaxis. Patients and Methods: A total of 367 patients with epistaxis 209 males, 158 females; mean age 52.6±18.3 years; range 18 to 85 years admitted to the Adult Emergency Department of a university hospital between January 2000 and December 2004 were retrospectively analyzed. Results: Of patients, 56.7% had an idiopathic bleeding. A significantly higher number of patients aged >50 years had high blood pressure on admission. Of 141 patients 38.49% presenting without bleeding on admission, 20 required medical intervention for recurrent epistaxis. Conservative approaches were effective in stopping bleeding in 97.8% patients. The hospitalization ratio was 5.7%. Conclusion: Our study result show that endonasal endoscopic mucosal cauterization is an effective method for resistantto-treatment cases and inactive bleeding on admission is not a restraint for further examination.

Anahtar Kelimeler

Electrocoagulation, emergency service, endoscopy, epistaxis, hypertension

Burun kanaması tedavisi: Durmuş kanamaya bir tıbbi girişim gerekir mi?

Öz

Amaç: Bu çalışmada burun kanamalı hastaların tedavi ve izlem yaklaşımı tartışıldı. Hastalar ve Yöntemler: Ocak 2000 - Aralık 2004 tarihleri arasında bir üniversite hastanesinin erişkin acil sevisine başvuran burun kanamalı toplam 367 hasta 209 erkek, 158 kadın; ort. yaş 52.6±18.3 yıl; dağılım 18-85 yıl geriye dönük olarak incelendi. Bulgular: Hastaların %56.7’sinde kanama idiyopatikti. Elli yaş üzerindeki anlamlı sayıda fazla hastada başvuru sırasında hipertansiyon mevcuttu. Başvuru sırasında kanama saptanmayan 141 hastanın %38.49 20’sine tekrarlayan burun kanaması nedeniyle tıbbi girişimde bulunuldu. Konservatif yaklaşım, hastaların %97.8’inde kanamanın durdurulmasıyla etkili bulundu. Hastaneye yatış oranı %5.7 idi. Sonuç: Çalışma bulgularımız, tedaviye dirençli olgularda endonazal endoskopik mukoza koterizasyonunun etkili bir yöntem olduğunu ve başvuru sırasında kanama olmamasının ileri inceleme için engel olmadığını göstermektedir.

Anahtar Kelimeler

Electrokoagülasyon, acil servis, endoskopi, burun kanaması, hipertansiyon

Kaynakça

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