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男21岁,农民。病案号17794.左鼻塞,反复出血一年余,左面部肿胀两月余,于1983年11月1日入院。检查:全身无明显异常.左面部隆起,触之硬,肤色正常。双眼无异常,外界无畸形,左鼻前后孔可见灰白色半透明状息肉样肿物充满鼻腔,并见陈旧血及鲜血。鼻咽部正常。左硬腭部分下塌,面积约1.5×1.5cm,触之中等硬,(?)后龈沟处有一瘘孔,与上颌窦相通,直径约1.5cm,有暗红色质脆易出血之新生物翻出,触之极易出血,并能回纳窦腔,按压犬齿窝处有脓性物及鲜血从瘘孔溢出.左颈上那可触到直径约2cm大小的2个肿大淋巴结,活动,触痛明显。从硬腭下塌处及犬齿窝穿刺均为鲜血。X线瓦特氏位及上颌窦侧位片示:左上颌窦密度一致性增高,窦腔扩大,内壁及下壁有不同程度的骨质破坏吸收.取(?)后瘘孔
Male 21 years old, farmer. Case No. 17794. Left nasal congestion, repeated bleeding for more than a year, the left facial swelling more than two months, on November 1, 1983 admission. Check: no obvious body abnormalities. Left facial bulge, touch the hard, normal skin color. Eyes no abnormalities, no deformity outside the world, visible left and right before and after the hole gray-white translucent polypoid tumor filled the nasal cavity, and see the old blood and blood. Nasopharyngeal normal. Left hard palate partially collapsed, an area of about 1.5 × 1.5cm, touch medium hard, (?) Gingival sulcus after a fistula, communicating with the maxillary sinus, a diameter of about 1.5cm, crisp and easy to bleed dark red crisp Out of the touch of a very easy bleeding, and can recapture the sinus cavity, pressing the fossa fossa and blood fistula hole overflow from the left neck that can touch the size of about 2cm in diameter 2 swollen lymph nodes, activity, The tenderness is obvious. Fallen from the hard palate and canine puncture are blood. X-ray Vat’s and maxillary sinus lateral radiographs showed that the consistency of the left maxillary sinus increased, the sinus cavity enlarged, and the inner and inferior walls had different degrees of bone destruction absorption.