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患者男,30岁。因右鼻腔流脓涕、鼻塞伴头痛5年,于1995年3月24日入院。患者于5年前始出现上述症状,且渐加剧,在当地医院反复多次治疗,疗效差。入院检查:一般状况好,外鼻及上颌外观无畸形,上颌窦前壁无压痛,鼻前庭无阳性发现,鼻腔粘膜充血,鼻中隔偏右,右侧黎氏区轻度糜烂,双侧下鼻甲充血、肿大,右中鼻道总鼻道有较多黄色粘脓性鼻涕,未见息肉,鼻窦X线华氏位摄片检查,显示右侧上颌窦窦腔粘膜增厚,模糊。术前诊断:右侧慢性化脓性上颌窦炎;鼻中隔偏曲。
Male patient, 30 years old. Due to the right nasal drainage purulent nasal discharge, headache with headache for 5 years, on March 24, 1995 admission. Patients began to appear the above symptoms 5 years ago, and gradually increased, repeatedly treated in local hospitals, the curative effect is poor. Admission examination: the general condition is good, the external nose and maxillary appearance without deformity, maxillary sinus anterior wall without tenderness, nasal vestibule no positive findings, nasal mucosal congestion, nasal septum deviation to the right, right Leslie district mild erosion, bilateral inferior turbinate congestion , Swollen, right middle nasal tract more common nasal mucosa with yellow mucopurulent nasal discharge, no polyps, sinus X-ray Fahrenheit radiography examination showed that the right maxillary sinus mucosa thickened, blurred. Preoperative diagnosis: right chronic suppurative maxillary sinusitis; nasal septum deviation.