患者男,50岁,鼻塞40余天,有脓性鼻涕,未带过血,而于1983年4月19日入院。体检。左鼻翼明显肿大,鼻腔内有特殊臭味,内有新生组织堵塞鼻道,外为白色伪膜覆盖,新生物质地柔软,内为红色,有较多的血管;咽部不充血,扁桃体悬雍垂均未见肿大。间接喉镜见鼻咽部光滑,无赘生组织。X线检查,副鼻窦华柯氏位,左上颌窦普遍密度增高,但窦璧骨质完整。头颅正侧位及颅底片,颅内未见明显 The patient was male, 50 years old. He had nasal congestion for more than 40 days. He had purulent nasal discharge and had no blood. He was admitted to hospital on April 19, 1983. Physical examination. The left nose is obviously swollen, there is a special odor in the nasal cavity, there are new tissue blocking the nasal passages, the outside is covered by a white pseudomembrane, the new material is soft, the inside is red, there are more blood vessels; the pharynx does not congestion, the tonsils hang There were no swellings in the sag. The indirect laryngoscope shows smooth, nasopharyngeal tissue. X-ray examination, paranasal sinus Huake’s position, the general density of the left maxillary sinus increased, but the sinus bone is intact. Positive lateral skull and skull base, no obvious intracranial