Tratamento da epistaxe: novas abordagens clínicas
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Resumo
Objetivo: Revisar a literatura sobre o tratamento da epistaxe, ou sangramento nasal. Revisão bibliográfica: O Ácido Tranexâmico (TXA), que se mostrou eficaz em diferentes contextos, incluindo pacientes que usam antiagregantes plaquetários. O TXA foi superior a outras intervenções, proporcionando hemostasia mais rápida, menor taxa de recorrência e maior satisfação do paciente. A administração oral, intranasal e tópica do TXA demonstrou sua versatilidade. Além disso, a aplicação tópica intranasal do TXA foi eficaz, reduzindo a necessidade de tamponamento nasal e ressangramento em 24 horas. Resultados: Estudos comparativos confirmaram a superioridade do TXA sobre adrenalina, tetraciclina e tamponamento nasal anterior no tratamento da epistaxe. No entanto, é necessário considerar diferenças metodológicas entre os estudos e ampliar as pesquisas para confirmar e expandir seus benefícios.
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