No4(3) 2020
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DOI 10.37219/2528-8253-2020-4-79 |
Rajabov A.Kh., Amonov Sh.E.
Diagnostic and treatment of nose bleeding in children with chronic hepatitis
B |
Rajabov Askar Khamrakulovich
Candidate of medical sciences, doctor otorhinolaryngologist in the
department of congenital and acquired ENT organs’ diseases Republican
Specialized Scientific and Practical Medical Center of Pediatrics, Republic
of Uzbekistan
Е-mail: bek.976@mail.ru
https://orcid.org/0000-0003-3937-1901
Amonov Shavkat Ergashevich
Doctor of Medical Sciences, Professor
Head of the Department of Otorinolaryngology and Dentistry of the Tashkent
Pediatric Medical Institute
e-mail: lor_amonov@mail.ru |
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Abstract
State of the problem: Nasal bleeding is one of the most common causes
of patients seeking emergency otorhinolaryngological care, as well as the
most common type of bleeding in medical practice. Frequent causes of
nosebleeds are changes in the vascular wall, hemorrhagic diathesis,
atherosclerosis, as well as diseases of the blood, kidneys, liver.
Purpose of research: To study the clinical course and effectiveness
of some methods of treatment of nosebleeds in chronic hepatitis B in
children.
Materials and methods: We observed 78 children aged 3 to 17 years.
The method of examination included a detailed study of complaints and
anamnesis of patients, endoscopic examination of the nasal cavity,
radiography of the nose and paranasal sinuses. Patients were divided into 2
groups. The first group consisted of 30 patients in whom treatment was
carried out by the proposed method (after detachment of the mucous membranes
into the nasal passages of the patient, a standard hemostatic sponge swab
soaked in solcoseryl Gel was introduced), the second group included 20
patients who received traditional treatment (effect on the bleeding area
with vaseline, which was previously applied to the gauze swab).
Results: Chronic hepatitis b In children retains its characteristic
clinical signs, including subatrophy and dryness of the mucous membranes of
the nose, nasal bleeding, adhesions of the nasal cavity, the
hepatosplenomegaly and the violation of some biochemical parameters.
Nosebleeds on the background of chronic hepatitis B occur with frequent
relapses, which contribute to the severe course of chronic hepatitis B and
can lead to an unfavorable outcome.
Conclusion: Good clinical effect of selective sparing surgical
technique: endoscopic submucosal detachment of the nasal septum in the
region of the zone of Kisselbach, with subsequent tamponade hemostatic
sponge impregnated with ointment “Solcoseryl”. |
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Keywords
nosebleeds, subatrophic rhinitis, chronic hepatitis B, solcoseryl. |
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