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鼻疖系鼻部常见的急性化脓性炎症。因可发生严重的颅内感染和全身多种并发症,故应视为一种严重疾患。我科于1983年10月收治1例鼻疖并发双侧绵窦栓塞、脑膜炎、脑膜中动脉血栓,金葡菌败血症,金葡菌肺炎、肺脓疡、右侧肢体瘫痪等症致死。现报告如下: 患者,男性,49岁,因鼻部肿胀头痛高热(40.1℃)4d住院。查体:鼻部皮肤红肿溃烂呈暗紫色,溃烂处有多发性脓头形似蜂窝状。鼻部红肿侵及前额发际处及颜面部,右侧至耳屏前。左侧皮肤红肿延及颧及上唇部。两眼上下睑皮肤红肿尤甚,球结膜高度水肿。右眼球突出,角膜混浊,眼球运动受限(外展内收均有明显障碍)。左眼球运动尚可,瞳孔等大,对光反射存在。
Nose 疖 Department of nasal common acute suppurative inflammation. Due to serious intracranial infection and systemic complications, it should be considered as a serious condition. In October 1983, our department treated 1 case of epistaxis with bilateral cavernous embolism, meningitis, middle cerebral artery thrombosis, Staphylococcus aureus septicemia, Staphylococcus aureus pneumonia, lung abscess and paralysis of the right limb. The report is as follows: Patients, men, 49 years old, due to nasal swelling and headache fever (40.1 ℃) 4d hospitalization. Physical examination: nasal skin ulceration was dark purple, ulceration at the head of multiple pus-shaped honeycomb. Nasal swelling and invading forehead hair and face Department, right to the tragus. Left skin irritation extends to the zygomatic and upper lip. Especially the upper and lower eyelid skin irritation, conjunctival highly edema. Right eyeball prominent, corneal opacity, limited eye movement (abduction adduction were obvious obstacles). Left eye movement is acceptable, pupils and other large, the presence of light reflex.