患者女性,48岁。自诉右鼻流脓涕伴头痛、右面颊麻木感3个月,曾在当地医院以“副鼻窦炎”给予抗炎治疗但症状未改善而转来我院。自发病以来无发烧、头晕、咳嗽、胸闷等,饮食睡眠可,二便正常。体检一般情况尚好,神清合作,心肺未见异常。专科检查见双面部对称,右面部无隆起、红肿,右上颌窦区轻度压痛,右面颊部痛觉减弱。鼻外观无畸形,右鼻腔内可见少量脓性较粘稠分泌物,下鼻甲充血肿胀,中甲似息肉样改 Patient female, 48 years old. Prosecutors right nasal purulent nasal discharge with headache, right cheek numbness 3 months, had a local hospital with “sinusitis” give anti-inflammatory treatment but the symptoms did not improve and transferred to our hospital. Since the onset of fever, dizziness, cough, chest tightness, diet sleep, two will be normal. Physical examination is generally good, clear cooperation, no abnormal heart and lung. Specialist examination, see double-sided symmetry, no swelling of the right side, swelling, right maxillary sinus mild tenderness, right cheek pain relief. No deformity of nasal appearance, a small amount of purulent viscous secretions visible in the right nasal cavity, congestive swelling of the inferior turbinate, like a polypoid change in the nail