论文部分内容阅读
患者,男,24岁。因感冒后鼻塞、流脓涕、头痛20余天就诊。检查:双侧鼻腔内大量脓性分泌物,以中鼻道为甚,犬齿窝压痛明显。X线照片报告“双侧上颌窦腔混浊”。化验:WBC13×10~9/L,BT、CT各2分钟,Ptc130×10~9/L。上午10点行双侧上颌窦穿刺,冲出大量脓性分泌物。穿刺后双侧鼻腔有少量出血,用2％麻黄素棉片收敛后出血停止。当天下午2时穿刺处仍有少量渗血,考虑为穿刺伤及血管所致,又用2％麻黄素棉片收敛局部血即止。21时双侧鼻腔大量出血约1000ml,用
Patient, male, 24 years old. After a cold due to nasal congestion, purulent tears, headache more than 20 days treatment. Check: a large number of purulent bilateral nasal secretions, to the middle of the nasal passages is even more obvious fossa tenderness. X-ray report “bilateral maxillary sinus opacity.” Laboratory: WBC13 × 10 ~ 9 / L, BT, CT each 2 minutes, Ptc130 × 10 ~ 9 / L. Maxillary sinus puncture at 10 o’clock in the morning, punctuated a large number of purulent secretions. After puncture a small amount of bilateral nasal bleeding, with 2% ephedrine cotton bleeding stopped after convergence. The puncture at 2 pm that day there is still a small amount of oozing, consider the puncture wounds and blood vessels, but also with 2% Ephedrine cotton convergence of local blood that is. 21 when bilateral nasal bleeding about 1000ml, with