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患者,男,56岁。因反复左鼻出血1年于2014年10月入院。患者1年来反复左鼻出血,自行填塞处理多能止血,左鼻间断性鼻塞,无涕,无明显嗅觉下降。4个月前曾于当地医院局部麻醉下行鼻腔肿物切除术,术后病理回报为息肉。术后左鼻仍有间断出血,遂于我院就诊。专科检查:鼻中隔右偏,左侧鼻腔可见息肉样新生物,并有大量血块及血性干痂,右侧鼻腔中鼻甲呈息肉样变。鼻窦CT示:左侧鼻腔、上颌窦、筛窦软组织密度影,未见明显骨质吸收或破坏(图1)。术前于门诊鼻镜下取
Patient, male, 56 years old. One year after repeated left epistaxis was admitted to hospital in October 2014. Patients with repeated left nasal hemorrhage over the past year, self-packing to deal with more to stop bleeding, left nasal intermittent nasal congestion, no tears, no significant decline in olfactory. 4 months ago in the local hospital local anesthesia downstream nasal resection, postoperative pathological findings of polyps. After the left nose is still intermittent bleeding, then in our hospital. Specialist examination: the right nasal septum deviation, the left nasal polyps can see new creatures, and a large number of blood clots and dry scab, the right nasal turbinate polypoid lesions. Sinus CT showed: the left nasal cavity, maxillary sinus, ethmoid sinus soft tissue density, no significant bone absorption or destruction (Figure 1). Preoperative taken under the nose in the clinic