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恶性肉芽肿是一少见的疾病,手术后发生者就更为少见。73年以来,我科诊治两例手术后发生恶性肉芽肿的患者。现报告如下: 例一,患者男性,49岁,四川籍,工人。因鼻阻2个月诊断为鼻中隔偏曲,于1973年4月2日入院。住院号168474。入院检查,鼻中隔偏右,粘膜呈苍白、水肿状,鼻道有水样分泌物,无溃疡,不发烧,血常规正常。于4月5日在局麻下作鼻隔粘膜下切除术。术中鼻中隔两侧粘膜保持完好。术后肌注青霉素40万单位,每日两次,链霉素0.5克,每日两次。次日抽出鼻腔填塞的凡士林纱条、鼻阻无改善。鼻中隔粘膜肿胀,渗血性分泌物,用1%麻黄素收缩不良,术后第三日见鼻腔有大量胶冻状
Malignant granuloma is a rare disease that occurs more frequently after surgery. For 73 years, our department has treated and treated two patients with malignant granuloma after surgery. Now report as follows: Example 1, male patient, 49 years old, Sichuan membership, workers. Due to nasal resistance for 2 months diagnosed nasal septum deviation, admitted to hospital on April 2, 1973. Hospital number 168474. Admission examination, nasal septum deviation right, mucosal pale, edema, nasal discharge of water samples, no ulcers, no fever, normal blood. On April 5 under local anesthesia for sub-nasal septum resection. Intraoperative nasal septum mucosa remain intact. Postoperative muscle penicillin 400,000 units twice daily, streptomycin 0.5 g twice daily. The next day out of nasal packing Vaseline gauze, no improvement in nasal resistance. Nasal mucosal swelling, bleeding secretions, with 1% ephedrine poor contraction, see the nasal cavity on the third day after a large number of jelly