[Classification and its application of spontaneous epistaxis under nasal endoscopy].

Objective

Classify spontaneous epistaxis according to bleeding morhology and characteristic saw under nasal endoscopy,in order to investigate the clinical application of this classification. Method:Retrospectively analyze 125 cases with spontaneous epistaxis treated by electric coagulation hemostasis in our hospital from February 2015 to June 2016．According to performances of different sites under endoscopy,93 cases of spontaneous epistaxis are like aneurysm,31 patients with submucosal hemorrhage, and 1 case is not clear. Take endoscopic hemostatic according to the characteristics of the different types of spontaneous epistaxis,then collect and keep endoscopic images, and have conducted analysis. Result:One hundred and twenty-four cases of patients were cured with endoscopic hemostasis, 1 case of endoscopic hemostatic found no obvious bleeder, and he was cured with iodoform gauze tamponaded in his nose after 1 week.

Conclusion

For spontaneous epistaxis, this classification and the corresponding hemostatic measures can effectively improve the success rate of hemostasis, and reduce the likelihood of bleeding complications.