Nosebleed is one of symptoms with commonner children, happen at 4-10 more year old, the infant sees rarely. Nosebleed sees more with odd side, and haemorrhage place is in more rhinal forehead, see more especially at the lower part before nose lumen, its reason is the place blood-vessel rich, gather together net, the surface only Fu with layer mucous membrane, and organization of lower level of devoid mucous membrane, reason is damaged easily, produce artery or vein sex haemorrhage. So clinical go up to say this place gets pitch for bazoo again " easy haemorrhage area " .
Children nosebleed can be a kind of independent disease already, may be a kind of expression of certain disease, so once nosebleed happens, outside eliminating illness of itself of consideration nasal cavity, return the likelihood that should think of nosebleed of systemic disease be caused by.
In nosebleed of rhinal disease be caused by, in order to dig those who fall is nose, collision, traumatic cause most common. In addition, hypertrophy of dry sex rhinitis, atrophic sex rhinitis, nose Dou Yan, proliferous body and agnail, nasal septum slants of music all can cause nosebleed. Dilate of blood-vessel of the lower part before nasal septum or ulcer, when brushing nose, cough or sneeze forcibly, cause nosebleed easily also. Nosebleed of rhinal eyewinker be caused by, much see at 5 years old of the following children. Rhinal congenital blood-vessel is unbalanced, if music of varicosity, transmissibility wool is in charge of outspread disease to wait, also be one of local reasons of nosebleed.
Nosebleed of systemic disease be caused by, visible at haemal system unusual, if leukaemia, plaque reduces sexual purpura, cell of aplastic anemia, bead decreases disease, hemophiliac etc, nosebleed of be caused by of this kinds of disease, much to relapse stubborn sex bleeds. Wind damp and hot and acute heat up sexual contagion, wait like hives, typhoid fever, diphtheria, scarlatina, whooping cough, grippe, often have the symptom of nosebleed, little patient of You Yifeng damp and hot sees at most, about 1/3 erupts simultaneously this disease. Lack of A of hidebound, vitamin, B2, C, D can cause mucous membrane epithelial insalubrious, hemal brittleness and appear a gender to increase and burst bleeds; Vitamin K is lacked, can send thrombin yuan synthetic obstacle, cruor time is lengthened, cannot stop oneself after nosebleed happening.
Little the processing of nosebleed, principle should first hemostatic, search the pathogeny again. More to haemorrhage quantity, produce the person that break shock of courage and uprightness, answer to estimate exsanguine amount correctly, seasonable fluid infusion and blood transfusion. The local and hemostatic method of nosebleed is very much, according to haemorrhage place, haemorrhage the quantity reachs arterial Yi Huojing the property such as haemorrhage of sex of arteries and veins, choose different method respectively. Grain haemorrhage presses a law to be able to stop via pointing to commonly, the method is: The little patient takes seat, head pitch, nose forehead ministry uses wet towel cold compress, hold two flank 5 minutes closely with forefinger and big toe. If still bleed, can use 1% ephedrine cotton piece or 1 ‰ adrenalin cotton piece a place of strategic importance holds bazoo again into nasal cavity hemostatic. Point to press a law to go to the lavatory simply, can undertake other and hemostatic method still has burn of refrigerant, report inside the family. Silver of 25-30% nitric acid or haemorrhage of burn of 30% 3 chloric acetic acid are nodded, before, hind nostril vaseline gauze ram, hemal ligate. Nosebleed is divided afore-mentioned local and hemostatic outside, still answer to undertake be remedialed all over in the light of different pathogeny, to massive haemorrhage the little patient should limit its activity, strengthen nurse, improve nutrition, and take into consideration the circumstances uses hemostatic remedy.