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患者,女,46岁。前额痛伴流脓涕 2月余,在当地医院诊断为血管神经性头痛,治疗后效果不好。鼻窦X 线摄片后诊断为“上颌窦炎”,行右侧上颌窦穿刺,冲洗出少量脓。用青霉素治疗效果仍不佳。因头痛加剧于1991 年7月4日转我院。检查:一般情况尚好。专科:鼻中隔向左偏曲,右鼻腔宽畅,双中鼻道未见积脓,额窦前壁有明显压痛,上颌窦前壁压痛不明显。实验室检查:WBC9.8×10~9/L,
Patient, female, 46 years old. Prefrontal pain with reflux purulent tears in more than 2 months, at the local hospital diagnosed with vascular neuropathic headache, after treatment, the effect is not good. Sinus X-ray diagnosis of “maxillary sinusitis” line of the right maxillary sinus puncture, purging a small amount of pus. Treatment with penicillin is still not good. He was transferred to our hospital on July 4, 1991 due to the aggravation of headache. Check: The general situation is good. Specialist: nasal septum to the left deviation, the right nasal smooth, no double suppurative mid-nasal, frontal sinus obvious tenderness, maxillary sinus anterior wall tenderness is not obvious. Laboratory tests: WBC9.8 × 10 ~ 9 / L,