More and more patients with nasal bleeding, I will Baiqiu International Peace Hospital ENT Wu Yanqiao director of the accumulated experience and related anatomy to tell you to share, I hope that more ENT doctors that can benefit patients. In recent years, there are more and more patients with nasal bleeding. In primary hospitals, most of them use the method of nasal stuffing, and some hospitals also use vascular embolization, which is particularly painful for patients. In fact, with the popularization of nasal endoscopy in the past few years, many otolaryngologists are skilled in using nasal endoscopy for various operations and treatments, and the use of this technology for the treatment of nasal bleeding has improved the cure rate, especially for bleeding from hidden parts deep in the nasal cavity. More importantly, it reduces the patient’s pain to a considerable extent, and even if it happens that the bleeding occurs in the crevices, and it is not convenient to stop the bleeding by physical methods, a limited small-scale caulking is very desirable. With the development of nasal endoscopic surgery, nasal bleeding is no longer difficult to treat, and nasal bleeding no longer needs to be stuffed. In our ENT outpatient clinic, we can find the bleeding point under nasal endoscopy, and basically more than 90% of the patients can find the bleeding point and stop the bleeding by electrocoagulation or radiofrequency, so the era of external carotid artery ligation for nasal bleeding and nasal stuffing for nasal bleeding is over! The most common bleeding points are as follows: 1, the posterior lateral nasal artery of the pterygopalatine artery, in the dome of the inferior nasal tract, the inferior turbinate can be fractured inward to expose the inferior nasal tract, in the case of no bleeding, there is a prominent dot or bulge in the smooth mucosa is the site of the bleeding point, in the case of fierce bleeding you can first plug the inferior nasal tract with cotton tablets for a few minutes, withdraw the cotton tablets and then find the bleeding point. 2, the posterior septal artery of the pterygopalatine artery: in the anterior wall of the pterygoid sinus near the superior turbinate, this bleeding is less common. But it is also very difficult to find. Especially for beginners. 3, the posterior lateral nasal turbinate branch of the pterygopalatine artery: located at the junction of the horizontal and vertical parts of the substrate of the middle turbinate, usually the middle turbinate can be seen by shifting it medially, which is also a part that many hospitals and doctors are not familiar with. 4.The anterior septal artery: many doctors know this point, at the nasal septum between the middle turbinate and the nasal septum, also when not bleeding can be found at the smooth mucosa there is a small elevation is the bleeding point. 5.Pterygopalatine artery posterior lateral nasal artery branch: located somewhere in the front of the lower nasal tract. 6.Branch of the posterior nasal septal artery of the pterygopalatine artery: located at a part of the upper edge of the posterior nostril. Before stopping the bleeding, give the patient anesthesia in the nasal cavity, if the patient is not bleeding at that time, you can inject lidocaine in the root of the middle turbinate to anesthetize the posterior lateral nerve, if it is bleeding you can inject some lidocaine in any part of the nasal cavity, in short, it is better than not injecting, the patient is not in pain in order to better cooperate with stopping the bleeding.