No5-6(3) 2020
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DOI 10.37219/2528-8253-2020-6-75 |
Bichkova N, Garyuk H
Combined method of stopping nasal hemorrage |
Garyuk Hryhorii
Kharkiv Medical Academy of Postgraduate Education
Doctor of Medicine, Honoured Scientist and Technologist of Ukraine, Head of
the Department of Otorhinolaryngology and Children's Otorhinolaryngology at
the Kharkiv Medical Academy of Postgraduate Education.
ORCID ID 0000-0003-0344-8997
Bichkova Natalia
Karazin Kharkiv National University
Assistant at the Department of Surgical Diseases, Faculty of Medicine,
Karazin Kharkiv National University
e-mail: bichkova18ns@gmail.com
ORCID 0000-0001-7624-072 |
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Abstract
Topicality: Nasal hemorrhage (NH) is one of the most common reasons
for patients to seek emergency otorhinolaryngological care. Due to the
significant increase in cardiovascular disease, endovascular interventions,
as well as the wide use of anticoagulant and disaggregating therapy (in most
cases, long courses or even lifelong), cases of recurrent NH have become
more frequent. In reference, there is a problem of modification of local
methods of stopping NH in patients who receive the above therapy for a long
time, because intervention in the hemostasis system in this group of
patients causes certain difficulties.
Aim of the study: The development of an anatomical intranasal tampon
that allows you to combine several types of effects on the bleeding area is
an extremely important task.
Materials and methods: We have proposed a combined method of stopping
NH, which includes the use of a two-chambered hydraulic tampon of our self
design in combination with gel “Nosochem” and thermal exposure.
Results: The proposed method of stopping NH was used in 24 patients,
the average duration of nasal tamponade was 52.4±5.3 hours. In 23 (95.8%)
patients, the proposed method provided effective stoppage of NH.
Conclusions. The proposed hydrotampon in combination with “Nosochem”
gel and local thermal exposure is a simple, effective and convenient to use
combined method of stopping NH, which can be used as a method of choice for
NH in patients who take anticoagulants and disaggregants for a long time. |
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Keywords
Nasal hemorrhage, anticoagulants and disaggregants, hydrotampon. |
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