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患者,女,53岁。因右鼻阻塞10余年来诊,于1990年2月18日住院。10年前始出现右侧鼻塞,流涕,有时鼻涕带血,未引起注意。鼻塞进行性加重,近2年右鼻腔完全阻塞,且可见肿物填塞。1年前在某医院以鼻息肉手术治疗,未能将肿物摘除。查体:全身无特异。右鼻侧隆起,右鼻腔见灰白色肿物充填,表面光滑,无分泌物,触之质韧、不易出血,根蒂看不清。右侧鼻后孔可见同样肿物,未突出鼻咽部。查血WBC4.8×10~9/L,N0.76,L0.24;E.S.R8mm/h。X线摄片示:右鼻腔有软组织阴影,鼻中隔被推向左侧,右上颌窦内壁有破坏,窦腔未见异常。颅底X线摄片未见异常。入院后取活检,诊为右鼻腔血管纤维瘤,于
Patient, female, 53 years old. Due to the right nasal obstruction more than 10 years of diagnosis, in February 18, 1990 hospitalization. 10 years ago, the first appeared in the right stuffy nose, runny nose, sometimes bloody nasal discharge, did not pay attention. Nasal congestion progressive increase in the past 2 years completely obstruction of the right nasal cavity, and visible mass tamponade. A year ago in a hospital surgical treatment of nasal polyps, failed to remove the tumor. Physical examination: no specific body. Right nasal bulge, see the right nasal cavity filled with gray, smooth surface, no secretions, toughening toughening, not easy to bleeding, can not see. Right posterior orifice of the nose can see the same mass, not prominent nasopharynx. Check the blood WBC4.8 × 10 ~ 9 / L, N0.76, L0.24; E.S.R8mm / h. X-ray showed: Right nasal soft tissue shadow, nasal septum is pushed to the left, right maxillary sinus wall damage, no abnormal sinus. Skull base X-ray showed no abnormalities. After admission to take biopsy, diagnosed as right nasal vascular fibroma, at