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患儿男性,8岁,住院号212220。主诉发热、头痛4天,眼球突出一天,于1979年12月16日由儿科急诊收入院。患儿近一个月来常有伤风、咳嗽。入院前4天开始发热,恶寒,头痛,便秘,食欲减退,全身不适。入院当天两眼球突出,鼻面部肿胀,给予四环素0.5克/日静脉滴注,链霉素0.5克/日及青霉素120万/日肌肉注射.入院第二天患儿一般情况更差,头痛加剧,出现鼻部疼痛及两鼻阻塞,遂转我科。耳鼻喉科检查:鼻梁红肿触痛,面颊部肿胀。前鼻镜检查见鼻中隔两侧对称性膨隆充血,与下鼻甲接触,触之柔软,有波动,抽吸有脓。体格检查:
Children with children, 8 years old, hospital number 212220. Chief complaint fever, headache for 4 days, prominently one day, on December 16, 1979 by the pediatric emergency room. Children often have cold and cough in nearly a month. 4 days before admission fever, aversion to cold, headache, constipation, loss of appetite, general malaise. On the day of hospitalization, both eyes were prominent and the nasal area was swollen with intravenous infusion of tetracycline 0.5 g / day, streptomycin 0.5 g / day and penicillin 1.2 million / day. On the second day after admission, children generally had poorer conditions, worse headaches, Nasal pain and two nasal obstruction occurred, then turn my department. ENT examination: nasal swelling and tenderness, swelling of the cheeks. Before the nasal examination, see the symmetry of the nasal septum, bulging congestion, contact with the inferior turbinate, touching the soft, fluctuating, pumping pus. Physical examination: