Emergency treatment of epistaxis

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DefinitionNasal bleeding, medically known as epistaxis, usually refers to the nasal cavity and paranasal sinus or nasal pharyngeal nasal vas

Content

Definition

Nasal bleeding, medically known as epistaxis, usually refers to the nasal cavity and paranasal sinus or nasal pharyngeal nasal vascular rupture caused the bleeding, occurred in all ages, different time and season, is one of the most common symptoms, the light of blood in the nose or punctate bleeding, severe bleeding is not easy to control, can cause hemorrhagic shock.

Pathogeny

(1) trauma

(2) nasal lesions: rhinitis, sinusitis, allergic rhinitis, hemangioma, nasal tumors, etc..

(3): systemic diseases: cardiovascular diseases (such as hypertension, atherosclerosis, pulmonary heart disease) and blood disease (such as leukemia, thrombocytopenia), lack of vitamins (such as vitamin C and vitamin K deficiency etc.), acute infectious diseases (such as influenza, measles, hemorrhagic fever, etc.) other diseases (such as liver cirrhosis and uremia).

Handle

The nose should make the patient sitting or half sitting bleeding. If the amount of bleeding or suspected patients cup shock (if the patient appeared pale, cold limbs, fast pulse, shortness of breath, etc.) is desirable to pillows, taking the supine position or supine head down, and immediately call 120. At the same time carefully observe the changes in breathing, pulse, as soon as possible to send the patient to the hospital.

Acupressure hemostasis

Anterior nasal septum bleeding or occasionally a bleeding volume, available digital pressure hemostasis. Pinch the nose on both sides of the thumb and index finger, press 5 to 10 minutes, the forehead, neck during acupressure can also be in the patient with a cold towel or cold water or cold compress bag, in order to promote vasoconstriction, relieve nasal bleeding.

Nasal packing hemostasis

When patients with epistaxis, in preparation to go to the hospital at the same time, can also take nasal packing hemostasis. The tight roll of gauze or cotton packing to live gently with pre and post nostril nose, and use index finger and thumb Jinnie two nose to hemostasis. In the case of gauze or cotton, pay attention to the gauze or cotton strips on the outside a little, in order to remove.

If the appeal method is invalid, immediately go to the hospital for further treatment.

Matters needing attention

Don't be nervous when you bleed. Bleeding more often, patients tend to be more nervous, but as the patient's family, do not be nervous, otherwise it will exacerbate the patient's fear. To comfort the patient, should accompany the patient, remove the patient's psychological state of tension and fear, to guide the patient breathing (slow and deep breathing, inhale slowly, preferably for more than 3 seconds, until unable to inhale and exhale slowly), to fully relax.

Exhaled nasal bleeding should be promptly because the nose bleeding, blood can flow through the nose after the mouth, so to guide the patient into the blood flow in the entrance to spit. Do not let the patient swallow the blood, so as not to stimulate the gastrointestinal tract cause nausea, vomiting or aspiration of patients caused by suffocation incoming suction road.

When you go to the hospital, take some water, toilet paper towels, clothes, etc..

Maintain defecate unobstructed, appropriate to eat more food rich in crude fiber and water, at the same time, to add vegetable oil food enough in the daily diet, such as can often take black sesame, bananas, honey etc..

Nasal bleeding during the diet should be light, should attach great importance to the favorable supplement to the hemostatic vitamin A, E and C etc., should eat more fresh vegetables and fruits, such as celery, Ma Lan head, shepherd's purse, lotus coupling, orange orange, apple, jujube, etc..

Not to smoke with absolutely no smoking, less with liquor, spicy and fried fried fried things should eat or not eat, to avoid heat toxin upside or increased inflammation.

 

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