When nose bleeding occurs, it is necessary to actively seek medical treatment, choose nasal filling, local pressure and cold compresses and other ways of emergency treatment, or use hydroxymetazoline and other nasal vasoconstrictors and Yunnan Baiyao and other hemostatic agents to temporarily control bleeding. If the hemostatic effect is unsatisfactory, electrocoagulation or radiofrequency can be used to close the responsible blood vessels.
Nose bleeding may be related to nasal capillary hemangioma, nasopharyngeal fibrous hemangioma, deviated nasal septum and other diseases, and general treatment, drug treatment, surgical treatment and interventional treatment can be chosen according to the cause and characteristics of the disease.
1. Nasal capillary hemangioma: it can be found in the front and lower part of nasal septum, or at the bottom of nasal cavity and turbinate with a small tip or wide base of new organisms, which is often in dark red color, with smooth or mulberry-like surface, and it is easy to cause serious bleeding when touched by probe. It can be surgically excised or treated by electrocoagulation or radiofrequency cauterization.
2. Nasopharyngeal fibrous hemangioma: the tumor originates from the base of the pterygoid bone of nasopharynx or the occipital bone, the periosteum of the plough bone, which is the result of irregular development of the skull base in puberty. It is often manifested as repeated massive bleeding from nasal cavity and oral cavity. As a result, patients have different degrees of anemia. The mass is often removed on the basis of digital subtraction angiography + embolization of the blood-supplying artery of the tumor and ligation of the external carotid artery.
3. Deviated nasal septum: the bone and cartilage of the nasal septum are deviated, causing deviated convexity and protruding tip, which are prone to hemorrhage under the stimulation of physical and chemical factors and inflammatory factors. Nasal septum correction and septum submucosal resection can be used to correct the deformity of nasal structure.
Nose bleeding, it is recommended to consult the hospital in a timely manner, conduct relevant examinations, find the cause of the disease and make a clear diagnosis, and follow the doctor’s instructions to standardize the treatment of the primary disease.