三級醫療中心鼻出血的臨床表現與處置：回顧性研究

// Presentation and management of epistaxis at a tertiary care center: A retrospective review

回顧521例兒科急診鼻出血：61.4%不明原因、16.5%外傷｜51.3%需耳鼻喉科會診；中位停留64分鐘，癌症病史、會診及較重出血延長停留｜9.6%復發，男性與藥物使用為復發預測因子；多數自限但專科照護需求高，建議風險分層管理以優化資源。

// This retrospective review of 521 pediatric ED epistaxis visits (2009–2023) used multivariable regression to describe presentation, management, and predictors of ED length of stay, ENT consultation, bleeding severity, and recurrence. Most bleeds were idiopathic (61.4%) and anterior; trauma accounted for 16.5% of identifiable causes, 51.3% required otolaryngology consult, median ED stay was 64 minutes (longer with cancer history, ENT consultation, and greater bleeding severity), greater severity was associated with weekend/holiday presentation, recent intranasal surgery, and coagulopathy, and 9.6% recurred with male sex and medication use predicting recurrence. Although most pediatric epistaxis was self‑limited, a substantial proportion needed specialist care, suggesting risk‑stratified management could improve resource use.

Published 2026年9月2日