鼻咽癌再程放疗后鼻咽部大出血的抢救体会

摘要

Objective To explore the rescue method oi nasopharyngeal bleeding after re-course radiotherapy of nasopharyngeal cancer. Methods Nine patients with epistaxis after radiotherapy of nasopharyngeal cancer therapy were retrospectively analyzed. All the patient received pre- and post-nostril packing hemostasis. Results In the course of rescue, 2 cases died due to suffocation and hemorrhagic shock, repectively. Seven cases survived from bilateral carotid artery angiogaphy. Conclusion Filling up pre- and post-nostril with endovascular embolization combination therapy can improve the success rate of epistaxis after nasopharyngeal cancer recourse radiotherapy, and worth promoting.%目的 探讨鼻咽癌再程放疗后大出血的抢救方法.方法 回顾性分析9例鼻咽癌患者再程放疗后大出血的临床资料,所有患者均采用前后鼻孔填塞止血法.结果 在抢救过程中死亡2例,1例窒息死亡,1例失血性休克死亡；其余7例患者均行双侧颈动脉造影,抢救成功.结论 前后鼻孔填塞联合血管内介入栓塞治疗有助于提高鼻咽癌再程放疗后鼻咽部大出血的抢救成功率,虽然存在再次出血的风险,但仍是抢救的必须手段,值得推广.