我们曾遇1例额筛窦海绵状血管瘤患者,报告如下.患者,男,66岁.因右鼻反复出血10个月,在当地医院经多次鼻腔填塞及右颈外动脉结扎术后仍出血不止,于1989年7月15日转住我院.患者素健,无高血压、肝肾疾病及全身出血性疾病史,亦无头部外伤、鼻塞流脓涕和头痛史.听力视力正常.腹压增加或头低位时易诱发鼻出血.体检:全身情况尚好,贫血貌,右胸锁乳突肌前缘见一5cm之切口瘢痕.右中鼻道见鲜血外流,余无异常.鼻窦片示:右额筛窦密度增高,窦腔无扩大.报告为右慢性额筛窦炎.胸透及肝肾功能检查正常.心电图示窦性心律,右束支完全性阻滞.实验室检查:Hb90g/L.WBC9.8×10~9/L;出凝血时间各2min.1989年7月18日上午在局麻下行鼻外径路右额筛窦探查术.术中见右额筛窦内充满血块及鲜红色血管瘤样组织,彻底去除病变组织后见鼻额管扩大,窦壁完整.术后第2天抽除所有填塞纱条,出血 We have encountered a case of frontal sinus cavernous hemangioma patients, the report is as follows.Patients, male, 66. Due to repeated bleeding in the right nose for 10 months, at the local hospital after repeated nasal packing and right external carotid artery ligation was still Hemorrhage more than, in July 15, 1989 transferred to our hospital patients Sugan, no hypertension, liver and kidney disease and systemic bleeding disease history, nor head trauma, nasal congestion and purulent nasal discharge headache history. Nasal hemorrhage is easily induced when the abdominal pressure is increased or when the head is in the low position.Physiological examination: The general condition is still good and the appearance of anemia, the front of the right sternocleidomastoid see a 5cm incision scar. Film shows: right frontal ethmoid sinus increased density, no expansion of the sinus.Reported as right chronic frontal sinusitis. Thoracic and liver function tests were normal .Electrocardiogram shows sinus rhythm, right bundle branch block .Laboratory examination : Hb90g / L. WBC9.8 × 10 ~ 9 / L; out of the coagulation time of 2min. July 18, 1989 morning at the local anesthesia nasal diameter right antrum ethmoidal exploration. Filled with blood clots and bright red hemangioma-like tissue, see the nasal epicardial expansion of the complete removal of diseased tissue, sinus wall integrity .2 days after the removal of all packing gauze, Blood