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TITLE:

AN EVALUATION OF AUDIT OF PATIENTS OF EPISTAXIS: TREATMENT MODALITIES AND RELATION WITH BLOOD GROUPS

AUTHORS:

Dr Saira Arshad, Dr Muhammad Usman Zia, Dr Aqsa Aslam

ABSTRACT:

Background: in emergency wards, the situation that mostly handled is epistaxis. Objectives: The objective of this research study was to highlight the association of epistaxis with blood groups, modalities, pattern of epistaxis and its management. Patients and methods: The place selected for this research study was department of ear, throat, heads, nose, and neck surgery, Mayo Hospital Lahore. The time period allocated to this study was from 1st January to 31st December 2018. The people with reasons such as rhinolith granulomatous situation, trauma, blood dyscrasia , foreign bodies and less than one year of age were rejected. The people selected for this study were with serious epistaxis. These patients need hospital treatment. The numbers of the patients excluded from study were 60. The purpose of rejection was granulomatous disorder; tumor of rejection was granulomatous disorder, tumor and blood dyserasia. 100 controls were choose for this study for the purpose of assessment of connection of blood grouping with epistaxis age, blood groups, made of presentation, reason and management modalities of adjacent 160 cases of epistaxis that were hospitalized. Cases of epistaxis that were hospitalize. SPSS was used for data assessment by manual technique. Results: The most ordinary reason above 50years was hypertension. Comparative to females, male patients (72%) suffer from this disorder mostly. Sixty (60%) and seven (7%) were presented with hypertension and chronic rhino sinusitis respectively. Anterior nasal pack was carried for eighty five (85%) patients whereas posterior nasal packing was carried out for 15(15%) patients. The number of patients within 1 to 9 years, 10 to 29 years, 30 to 49 years and above fifty were seven (7%), nine (9%), twenty (20%), and sixty (60%) patients respectively. In control group, 38% patients were having blood group (O) while 47% in other. Conclusion: It was concluded that most of the patients of epistaxis were with blood group ‘O’. Trauma, blood duserasia and granulomatous disorder were excluded from the study so, main reason in hospitalized patients was hypertension. In management of epistaxis, anterior nosal packing is still significant. Keywords: Epistaxis, Hypertension, Nasal packing, Blood groups.

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