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1病例报告患者女,75岁。慢性肾衰竭尿毒症期及高血压病6年。6年来在当地医院行规律血液透析,使用普通肝素抗凝,每周透析3次,每次4h;并服用降压药,血压控制在150/90mmHg以下,病情稳定。1个月前不慎摔倒,左侧鼻翼碰到硬物致左鼻腔出血,自行将棉球塞入左鼻腔止血,出血减少。30min后去当地医院行常规血液透析。透析过程中自觉有液体不断由鼻咽流入口中。因处于卧位,不便起床,遂将液体吞咽,未向医护人员报告。透析结束后离开医院。在家中鼻腔出血量增多且血流不
A case report patient female, 75 years old. Chronic renal failure uremia and hypertension for 6 years. Six years in the local hospital routine hemodialysis, the use of unfractionated heparin anticoagulation, dialysis 3 times a week, each 4h; and taking antihypertensive drugs, blood pressure control in the 150 / 90mmHg the following, stable condition. 1 month ago accidentally fell, the left nose hit the left nasal hemorrhage caused by hard objects, the sponge will be inserted into the left nasal cavity hemostasis, bleeding reduced. After 30min to the local hospital routine hemodialysis. Dialysis process consciously have fluid from the nasopharyngeal flow into the mouth. Because of lying, inconvenient to get up, then the liquid swallowed, not reported to the medical staff. Dialysis after leaving the hospital. Nasal bleeding increases at home and blood flow is not