[A clinical analysis of intractable spontaneous epistaxis with 289 cases reviewed].
OBJECTIVE
To explore the clinical characteristics and the prevention strategy of intractable spontaneous epistaxis.


METHODS
Two hundred and eighty-nine patients with intractable spontaneous epistaxis were retrospectively analyzed.


RESULTS
Intractable spontaneous epistaxis was characterized by the onset season, age, sex, and the associated disease. Nasal septums were the most common sites of bleeding. Recurrent epistaxis was mainly associated with the failure of locating the bleeding sites.


CONCLUSIONS
Control of elevated blood pressure is essential for the prevention of intractable spontaneous epistaxis. Once epistaxis occurs, the importance of the first treatment for the haemostasis should be emphasized. For the uncontrollable epistaxis, multiple interventions are necessary.
Department of Otolaryngology, Third Hospital of Peking University, Beijing 100083, China. doctorwangli@yahoo.com
Li
L
Wang
Lihua
L
Wang
Yuying
Y
Zhou
Yan
Y
Yan
Li
L
Zhu
Tao
T
Pan
Lifeng
L
Xie
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004844:Epistaxis / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult