The causes of nasal bleeding can be broadly divided into two categories: one is nasal bleeding caused by local factors in the nasal cavity; the other is the local manifestation of systemic diseases in the nose.
The causes of nasal bleeding due to local factors are as follows: The most common nasal bleeding is bleeding from the nasal septum Ri area, which is generally small, but often accompanied by dryness of the nasal cavity; this bleeding can be stopped by simple self-caulking or pressure on the nasal wing; anterior rhinoscopy often sees vesiculation of the front end of the nasal septum with dilated vessels. Treatment can be done by applying absorbable hemostatic gauze to promote the growth of the trauma, while using oil-based nasal drops to keep the nasal cavity moist. Chen Xiaodong, Department of Otorhinolaryngology, Xijing Hospital Intranasal arterial vascular rupture, generally bleeding is more, and it is difficult to stop bleeding with caulking, mostly in middle-aged and elderly people, and even hospital caulking is difficult to stop bleeding.
Tumor bleeding in the nasal cavity, benign tumors such as hemangioma and nasopharyngeal fibrovascular tumor require hospitalization for surgery. Surgery for nasopharyngeal fibrovascular tumor is difficult and risky, and when surgery is performed with poor judgment and preparation, the bleeding is extremely large and difficult to stop and the patient’s life is in danger. Malignant tumors such as various nasal cavity and sinus malignant tumors need to be diagnosed by film, CT, MRI, etc. Malignant tumors have been confirmed generally should be operated as soon as possible. Regular hospital examination is needed to confirm the diagnosis and determine the appropriate surgery plan The causes of nasal bleeding caused by systemic factors are as follows: such as hypertension, diabetes and blood diseases, such as leukemia, hemophilia, etc. Early stage may also show nasal bleeding, but often accompanied by bleeding from other parts, such as gum bleeding, etc. Blood-related examination is needed to confirm the diagnosis.
Pseudoaneurysm of the internal carotid artery caused after severe trauma to the head, although the incidence is extremely low, the bleeding is often lethal. Once ruptured there is little chance of salvation.