A brief talk on epistaxis in children

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Often encounter some recurrent epistaxis of children in the clinic when parents to worry, need to understand the etiology, urgent treatment,

Content

Often encounter some recurrent epistaxis of children in the clinic when parents to worry, need to understand the etiology, urgent treatment, issues related to the prevention and so on, are summarized as follows:

1 reasons: the blood vessels in the nasal cavity is very rich, superficial and fragile, and the child nasal mucosa delicate, dry climate or pull the nose bleeding cause mucosal erosion. Nasal disease secondary hemorrhage such as acute rhinitis, sinusitis, nasal septum, nasal cavity tumor etc.. Systemic factors such as hematologic abnormalities such as thrombocytopenia, coagulation factor deficiency, etc.. Other factors, such as trauma, after strenuous exercise, etc..

2, the general emergency treatment: once the nasal bleeding, first of all to remain calm, do not panic, let the children quiet, head upright, adults will be bleeding nose plug sterile cotton ball, can also use the index finger compression of alar 5 - 10 minutes hemostasis. Forehead with a cold towel or ice covered with ice towels to stop bleeding, blood in the mouth should be spit out. If still can not stop, should be timely to the hospital.

3, treatment: first to the ENT clinic clear reason regular hospital, nasal examination except the nasal neoplasm and foreign body, blood tests except hematologic abnormalities, most of the children are often shown as nasal mucosa erosion, can be aureomycin or Erythromycin Eye Ointment or menthol nasal drops make you wet smear of nasal cavity. Such as bleeding feasible nasal packing, we do not recommend children for general anesthesia for nasal radiofrequency ablation, radiofrequency treatment on the surface when there are still some local pain, the child cannot match he burns easily.

4, prevention: try to change bad habits to pull the nose; not partial, not picky eaters, eat more vegetables, taboo spicy food; the general emergency treatment to nasal bleeding (hemorrhage is many parents often let their children lie down on your back and not timely local hemostasis, the surface of anterior nostril without actually bleeding, blood flow to the throat) bleeding; 1-2 weeks avoid strenuous exercise.

 

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