Nose bleeds shouldn’t suddenly be in danger of hiding!
Healing can be achieved from the above examples. Patients with this kind of nosebleeds can bleed thousands of milliliters in a short rupture, and they are fierce and dangerous. If you relax your vigilance, it will inevitably lead to serious consequences.
Bleeding in the nose can also be fatal?
Is this alarmist?
!!
Please look at a few real examples: Mr. Wang has been receiving radiation therapy for nasopharyngeal cancer for nearly 10 years, but it has been repeated many times.
One day, suddenly a lot of blood poured out of the nose and mouth, the volume exceeded 2000 ml, and immediately shocked.
Immediately included in hospital rescue.
It was found after inspection.
The blood came from the nasopharyngeal artery, which was surgically treated to stop bleeding and no further bleeding occurred.
Rescue 3800 ml of CCP blood transfusion.
Ms. Xue, 53, was shocked by massive nosebleeds and was transferred to our hospital after rescue.
About a week or so in the past, another 800 ml of nasal bleeding occurred, blood was sprayed several feet away, and blood pressure dropped.
The cerebral angiography showed that there was an aneurysm in the cavernous sinus segment of the residual internal carotid artery, which was immediately transferred to neurosurgery, which caused no further bleeding and no sequelae.
The construction worker, Master Dai, fell from a height of 5 meters a few months ago, landed on his head, and was unconscious with a slight nasal discharge on his head.
Later, a lot of nosebleeds occurred more than 10 times, totaling 1,000?
2000 ml, due to severe anemia, was admitted to hospital for treatment.
It was confirmed by carotid angiography that it was a pseudoaneurysm of the right internal carotid artery. After surgery, the bleeding stopped completely.
Healing can be achieved from the above examples. Patients with this kind of nosebleeds can bleed thousands of milliliters in a short rupture, and they are fierce and dangerous. If you relax your vigilance, it will inevitably lead to serious consequences.
The root cause is this “lethal” nosebleed.
It is the most dangerous type of nosebleed. The root cause of bleeding is caused by internal carotid artery rupture, but the cause of “rupture” is different.
In fact, the common causes of “rupture” of the internal carotid artery are as follows: ① head trauma.
Mostly due to a car accident or falling from a high level, it causes a skull fracture and damages the arterial wall to form a pseudo aneurysm. The tumor gradually grows. Under certain incentives, such as holding your breath, cold, fever, etc., bleeding can occur.
This is the case with Master Dai.
② Congenital or acquired factors.
Such as cerebral atherosclerosis, resulting in weak arterial walls, local enlargement to form aneurysms.
③ radiation damage.
Such as repeated multiple radiation treatments at the skull base area, damage to the arterial tissue, causing softening and necrosis of the internal carotid artery wall, more common in patients with advanced nasopharyngeal carcinoma multiple radiation treatment.
The appearance of the internal carotid artery wall that has been mentioned earlier is softened, necrotic, or an aneurysm has formed. It is like a bomb buried in the skull, which may detonate at any time.
But before and after the onset of this nosebleed, there will be some aura symptoms, as if the “wow” sound from the fuse is ignited. If you can “source” the sound to find the source and cut off the fuse in time before the detonation, it will be a life-threatening event.The great calamity may be avoided.
Conversely, if the risk of the disease is not even thought of at all.
When the clues first appeared, they were confused, missed the opportunity, and even went for a biopsy by mistake. The result was that the “bomb” broke out early, causing them to be caught off guard and killed their lives.
So, among the many patients with nosebleeds, what clues can reveal that we must be alert to this deadly nosebleed?
① Medical history.
As mentioned before, patients with nosebleeds who have a history of head trauma before onset, or a history of high-dose regular radiation therapy on their head, should pay more attention.
② accompanied by symptoms.
Because the aneurysm in the cavernous sinus is adjacent to some brain nerves, before and after the nasal hemorrhage is ruptured, symptoms such as affected side migraine, oculomotor nerve palsy and other nerve stimuli or compression often occur. These symptoms must not be taken lightly.
③ bleeding characteristics.
Most of them are arterial bleeding, so the bleeding color is bright red, and it is fierce.
The amount of bleeding is very large, often gusting out from the mouth and nose at the same time, and the bleeding site is not easy to determine. It is difficult to stop with conventional packing methods, and the patient can have shock in a short period of time.
For a further diagnosis of a dangerous nosebleed, carotid angiography must be performed.
It is completely helpful in understanding the presence of an aneurysm, and can show whether the communication between the two cerebral vessels is good. This is important to estimate whether serious complications due to brain tumors will occur when the artery is ligated to stop bleeding.
It is expected that the bleeding will be suspended or relieved after nasal tamponade, and this examination will be done as soon as possible within the short period of time after the next major bleeding.
The diagnosis is thorough and clear, and the treatment plan can be targeted.