Diseases of the nose and throat . very profuse, or is taking place in a patient nervousand frightened or young and obstreperous, it is no easy matter tokeep the field clear long enough to discover the bleeding point; but,with a little patience, it is possible to see the blood ooze drop by drop EPISTAXIS. 171 or, perhaps, in a distinct jet from the region referred to. In personsof advanced years with atheromatous arteries nose-bleed may be aconservative process and is not to be hastily checked. The loss ofblood may be considerable without doing a very great amount ofdamage but, nevertheless, th
Diseases of the nose and throat . very profuse, or is taking place in a patient nervousand frightened or young and obstreperous, it is no easy matter tokeep the field clear long enough to discover the bleeding point; but,with a little patience, it is possible to see the blood ooze drop by drop EPISTAXIS. 171 or, perhaps, in a distinct jet from the region referred to. In personsof advanced years with atheromatous arteries nose-bleed may be aconservative process and is not to be hastily checked. The loss ofblood may be considerable without doing a very great amount ofdamage but, nevertheless, the alarm of the patient compels us toresort to a variety of measures for the purpose of checking the bleed-ing. Even if nothing were done in most cases a course of eventssimilar to that observed in hemorrhage from other sources woulddoubtless ensue; the bleeding would persist until the depletion beganto produce a sensation of faintness when the diminished blood pres-sure would permit the formation of a coagulum to act as a natural. Fig. 66. Dilated Vessels on Septum in Region known as Hartmann-Kiesselbach Spot. (Krieg.) tampon. Among the milder measures used may be mentioned, rais-ing the hands above the head, the application of ice, held in themouth or placed in the nostril, or applied to the root of the noseeither in the form of an ice-bag or gauze wrung out in iced some cases hot water, at not less than 1580 F., applied to the nos-tril seems to be effective, and this is certainly found to be an excel-lent way of stopping the hemorrhage which follows operative work,especially the operation for deviated septum. Hot water applied tothe nape of the neck is said to have a decided effect. Various otherdomestic remedies have been used from time to time, but if thesesimpler methods do not avail and provided we cannot discover theisolated point of bleeding on the septum which has been described,plugging of the nostrils may be necessary. In the first place anattempt should be
Size: 1607px × 1554px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
