What about nosebleeds? There are four ways to stop bleeding.

2, local hemostatic drugs

Step 3: Burn

4. Nose stuffing

1. Finger-pressing method: The patient can pinch both nasal alars with his fingers or press the nasal alar on the bleeding side to the nasal septum for about 10 ~ 15 minutes, or press the upper lip horizontally with his fingers, and cold compress his forehead and back neck at the same time. This method is suitable for patients with a small amount of bleeding and anterior nasal bleeding. Patients with nosebleeds at home can take this method.

2. Local hemostatic: suitable for mild anterior epistaxis. This method is simple and easy, and the patient has little pain. For the bleeding site, 1% ephedrine, 1‰ epinephrine, 3% hydrogen peroxide solution or thrombin can be used to soak the cotton pad and block the nasal cavity for several minutes to several hours to achieve the purpose of hemostasis.

3. Cautery: chemical cautery and physical cautery (including electric cautery, laser cautery and microwave cautery, etc.). ) is commonly used. After the nasal mucosa is fully contracted and anesthetized, the bleeding point can be clearly seen. Dip the medicated cotton in 30-50% silver nitrate or 30% trichloroacetic acid to cauterize the bleeding point and press it for a while until a white film is formed locally.

4. Anterior nostril packing: It can be applied when the active bleeding of the anterior nose is serious or the bleeding site is unclear. Vaseline gauze packing of anterior nostril is a traditional hemostasis method. Most patients with epistaxis can stop bleeding after tamponade, and a few patients need to repeatedly tamponade or further tamponade the posterior nostril. Vaseline gauze can be folded from the top of nasal cavity to the top of nasal cavity and filled layer by layer, or filled from the bottom of nasal cavity to the top of nasal cavity. There should be a certain depth and intensity when filling, and it is forbidden to pile all gauze at the front nostril. After filling, check whether there is still blood flowing into the mouth and pharynx through the back nostril. Depending on the situation, determine the removal time of nasal packing. For patients with severe bleeding or hematological diseases, the filling time should be appropriately extended, and antibiotics should be given to patients during the filling process to prevent nasal cavity and sinus infection.