Mustafa Cenk ECEVİT, Taner Kemal ERDAĞ, Seçil UÇAR, Nesibe SÖNMEZ DEMİRYOĞURAN, Ahmet Ömer İKİZ, Özgür KARCIOĞLU, Semih SÜTAY

Burun kanaması tedavisi: Durmuş kanamaya bir tıbbi girişim gerekir mi?

Amaç: Bu çalışmada burun kanamalı hastaların tedavi ve izlem yaklaşımı tartışıldı. Hastalar ve Yöntemler: Ocak 2000 - Aralık 2004 tarihleri arasında bir üniversite hastanesinin erişkin acil sevisine başvuran burun kanamalı toplam 367 hasta 209 erkek, 158 kadın; ort. yaş 52.6±18.3 yıl; dağılım 18-85 yıl geriye dönük olarak incelendi. Bulgular: Hastaların %56.7’sinde kanama idiyopatikti. Elli yaş üzerindeki anlamlı sayıda fazla hastada başvuru sırasında hipertansiyon mevcuttu. Başvuru sırasında kanama saptanmayan 141 hastanın %38.49 20’sine tekrarlayan burun kanaması nedeniyle tıbbi girişimde bulunuldu. Konservatif yaklaşım, hastaların %97.8’inde kanamanın durdurulmasıyla etkili bulundu. Hastaneye yatış oranı %5.7 idi. Sonuç: Çalışma bulgularımız, tedaviye dirençli olgularda endonazal endoskopik mukoza koterizasyonunun etkili bir yöntem olduğunu ve başvuru sırasında kanama olmamasının ileri inceleme için engel olmadığını göstermektedir.

Anahtar Kelimeler:

Electrokoagülasyon, acil servis, endoskopi, burun kanaması, hipertansiyon

Epistaxis management: is medical intervention required for inactive epistaxis?

Objectives: This study aims to discuss the management and the follow-up approach in patients with epistaxis. Patients and Methods: A total of 367 patients with epistaxis 209 males, 158 females; mean age 52.6±18.3 years; range 18 to 85 years admitted to the Adult Emergency Department of a university hospital between January 2000 and December 2004 were retrospectively analyzed. Results: Of patients, 56.7% had an idiopathic bleeding. A significantly higher number of patients aged >50 years had high blood pressure on admission. Of 141 patients 38.49% presenting without bleeding on admission, 20 required medical intervention for recurrent epistaxis. Conservative approaches were effective in stopping bleeding in 97.8% patients. The hospitalization ratio was 5.7%. Conclusion: Our study result show that endonasal endoscopic mucosal cauterization is an effective method for resistantto-treatment cases and inactive bleeding on admission is not a restraint for further examination.

Keywords:

Electrocoagulation, emergency service, endoscopy, epistaxis, hypertension,

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