소아 鼻出血 환자에 대한 임상적 연구 = A Clinical Study of Children with Recurrent Epistaxis

다국어 초록 (Multilingual Abstract)

Recurrent epistaxis is not a rare symptom in children. The majority of epistaxis are self-limiting but it is vital to approach all cases, even minor ones, in a systematic way.
It is useful to divide the causes of epistaxis into local and general. Approximately 90% of epistaxis occur in Kiesselbach's plexus, localized in the anterior portion of the septum(little's area).
One of the most common local causes of epistaxis is digital trauma or nose picking, which can rapidly damage the delicate nasal mucosa. Another local cause is viral infection in the nose, which is frequently accompanied by nose bleeds.
In the majority of cases of recurrent epistaxis, it is usually very difficult to find out their underlying causes, so any treatment only deals with the symptomatic control of nasal bleeding whenever epistaxis occurs; it is usually impossible to effectively treat the underlying causes.
This study was performed at the Pundang Cha Oriental Medicine Hospital Depart. of Opthal. & Otorhinolaryngology and Pediatrics, from March,1,1996 to February,29,2000. 37 children with recurrent epistaxis returned for follow-up treatment.
We investigated the clinical findings and evaluated the etiology in children with recurrent epistaxis: This included associated signs & symptoms, prescriptions applied and treatment period & results.
The results were as follows:
The most frequent cause of nasal bleeding rated according to the age of children were determined as follows: in the preschool group - tonsil vegetation. Toddler and school groups - nasal diseases(rhinitis, paranasal sinusitis and nasal obstruction).
the most frequent used herb-medicine to treat these ailments is Gagamaebaegeum.
The children were monitored after treatment with a herb-medicine for some days. "Excellent: therapeutic responses were found in 16 cases(43.2%); "good" responses in 18 cases(48.6%); and "no response" only in 3 cases(8.1%).
In conclusion, it seems that the majority of cases of recurrent epistaxis were nasal diseases with related tonsil and adenoid vegetation. It can therefore be seen that the use of proper Oriental-herb medicine offers the most effective management and successful treatment of these diseases or ailments.

목차 (Table of Contents)

• Abstract
• Ⅰ. 緖 論
• Ⅱ. 대상 및 방법
• Ⅲ. 결 과
• Ⅳ. 考 察
• Ⅴ. 結 論
• 參考文獻