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例1 男,17天,足月。因生后鼻塞呛奶人院。查体:体重3.6kg,发育营养可,鼻塞,张口呼吸,无明显发绀。双肺可闻少许干鸣,心音有力,胸骨左缘3、4肋间可闻Ⅲ/Ⅵ级收缩期吹风样杂音。腹无阳性发现。临床怀疑鼻道畸形,CT检查提示右侧鼻后孔狭窄,左侧膜性闭锁(附图)。基于上述诊断即行鼻后孔扩张成形术。术后保留扩张管,抗感染治疗,10天后鼻管松动可自行脱落。鼻塞明显减轻,呛奶消失,住院22天出院。出院诊断:1.鼻后孔狭窄
Example 1 male, 17 days, term. Due to postnatal choke choking nursing homes. Physical examination: weight 3.6kg, developmental nutrition, nasal congestion, mouth breathing, no obvious cyanosis. The lungs can smell a little dry Ming, powerful heart sounds, the left intercostal sternal intercostal can hear Ⅲ / Ⅵ systolic hair-like murmur. No positive abdominal found. Clinical suspicion of nasal deformity, CT examination prompted the right posterior nasal orifice stenosis, left membranous atresia (with photos). Based on the above diagnosis that posterior nasal hole dilatation and plasty. After surgery to retain the expansion tube, anti-infective treatment, 10 days after the loose tube can fall off. Nasal congestion was significantly reduced, choking milk disappeared, discharged 22 days hospitalization. Discharge diagnosis: 1. Nose hole narrow