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患者,姚××,男,37岁,农民。患者家居山区,有密林伐木、饮用山沟溪水史。15岁开始鼻衄,但血量不多,间断发作。后越来越重,曾经几个医院反复诊治无效。1981年6月鼻衄转重,每天数次至10多次不等,且伴有鼻腔不舒适感、头痛、耳鸣等,日渐消瘦,被疑为鼻咽癌,于12月23日到本院复诊。检查:外鼻正常。两鼻腔粘膜及Little氏区未见溃疡或出血点,鼻甲大小、色泽如常。鼻咽顶部光滑,无新生物及出血点。双外耳道、鼓膜未发现异常。咽鼓管通气良好。经2%麻黄素镕液反复收缩鼻
Patient, Yao × ×, male, 37 years old, farmer. Patients at home mountain, logging in the jungle, drinking ditch water history. 15-year-old beginning of epistaxis, but not much blood, intermittent attacks. After the more and more heavy, repeated diagnosis and treatment of several hospitals invalid. June 1981 epigastric weight, several times a day to more than 10 times, and accompanied by nasal discomfort, headache, tinnitus, getting thinner, was suspected nasopharyngeal carcinoma, on December 23 to the hospital referral . Check: external nose is normal. Two nasal mucosa and Little’s area no ulcers or bleeding point, turbinate size, color as usual. Nasopharyngeal top is smooth, no new creatures and bleeding points. Double external auditory canal, tympanic membrane was not found abnormalities. Eustachian tube well ventilated. After 2% ephedrine solution repeatedly shrink nose