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患者男,36岁。1990—05—04以“双目失明”住入我院,因鼻衄曾一再用凡士林纱条填塞止血。收入本院当时鼻根、前额、眼睑、颞部均肿胀,双眼无光感。左眼球突出固定,球结膜充血水肿,瞳孔6mm～7mm,对光反应消失。右眼仅能向内下运动。眼底视神经乳头小,界清。耳鼻咽喉科检查见右鼻根旁皮肤破溃流脓血,鼻粘膜萎缩结痂,有大量脓涕。鼻中隔穿孔,露出犁骨。左鼻腔上方取出一腐败棉球。X线摄片为全鼻窦炎。5月10日手术探查见左上颌骨额突,鼻额缝及左额窦前下壁均有骨坏死,两侧额窦充满肉芽及粘脓,左侧额窦内有坏
Male patient, 36 years old. 1990-05-04 To “blind eyes” live in our hospital, because of epistaxis has repeatedly filled with gauze gauze to stop bleeding. Income at the time of this hospital nose, forehead, eyelids, temporal swelling, dull eyes. Left eye prominent fixed, bulbar conjunctival congestion and edema, pupil 6mm ~ 7mm, the reaction disappeared. The right eye can only move inward. Optic optic nerve head small, clear. Otolaryngology examination see the right nasal paravertebral skin ulceration flow pus and blood, nasal mucosa atrophy scab, a large number of purulent tears. Perforation of the nasal septum, exposing the vomer. Remove the left nasal cavity above a rotten cotton ball. X-ray film for the whole sinusitis. May 10 surgical exploration see the left maxillary frontal processes, nasal seizures and left anterior sinus wall have osteonecrosis, bilateral frontal sinus filled with granulation and pus, the left frontal sinus is bad