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患者张某女 25岁病案号 393225 常年性鼻痒、喷嚏、流清涕3a,经脱敏治疗无效,以“过敏性鼻炎”收入院。查体无异常,肝功、HBsAg、血、尿常规、ECG、胸片及副鼻窦柯瓦氏位片均未见异常。1990年4月16日局麻下行双侧翼管神经电灼术。术中见下甲粘膜苍白水肿,中甲轻度水肿,中隔呈嵴状突偏左,中道无新生物。沿中道置入哈迪氏大鼻镜暴露中甲后端(右侧),电灼周围φ0.5cm区域之粘膜,找到蝶突及眶突呈“V”型的骨性标志,以探针置入蝶腭切迹,无嵌顿,电灼数次,见术野出血,量较多、色暗红,迅速以1‰肾上腺素纱布压迫止血。行对侧手术,探针仍
Patient Zhang female 25 years old Case No. 393225 perennial nasal itching, sneezing, runny nose 3a, desensitization therapy ineffective, “allergic rhinitis” income hospital. No abnormalities in the examination, liver function, HBsAg, blood, urine, ECG, chest X-ray and paranasal kavachia no abnormalities were observed. April 16, 1990 local anesthesia bilateral bilateral pterygoid nerve cautery. See intraoperative mucosal pale edema, a mild edema, crest deviation in the septum left, middle no new creatures. Along the Middle Road, Hadi’s large nose exposed middle back (right), electrocautery mucosa around the φ0.5cm area, to find the biliary and orbital processes were “V” -shaped bones to probe Into the sphenopalatine notch, no incarceration, electrocautery several times, see the surgical field bleeding, the amount of more, dark red, quickly to 1 ‰ adrenaline gauze to stop bleeding. Opposite line surgery, the probe is still