Уважаемые коллеги!
Возвращаясь к первичному случаю носовых кровотечений у детей:
In case of severe or recurrent epistaxis, one must look for a bleeding disorder or a nasal/nasopharyngeal tumour, especially juvenile nasopharyngeal angiofibroma in adolescent males. Chemical or electrical cautery of the septum should be suggested in case of recurrent idiopathic epistaxis.
Из Arch Pediatr. 1996 Aug;3(8):806-13.
[Epistaxis in children]
Francois M.
Вот отечественная работа:
Vestn Otorinolaringol. 1991 Nov-Dec;(6):38-41.
[Pre-hospital diagnosis of nosebleed in children]
Doroshenko LA, Barkagan LZ, Sokolova GS, Kosikhina TA.
Early signs of haemorrhages develop in the childhood, nose bleeding being predominant. Recurrent nose bleeding was observed in 130 (89.0%) patients with thrombocytopathies, 37 patients with nasal pathologies, 13 out of 14 children having willebrand's disease, 3 patients suffering from Rendu-Osler disease, in a boy with a factor XIII deficiency, and in a girl with psoriasis. In the case of haemorrhagic diathesis, nose bleeding was, as a rule, combined with haemorrhages of other types (skin, gum, uterine, etc.) whereas in the case of ENT pathology, nose bleeding was the only haemorrhagic symptom.
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