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例1 患者,男,24岁。因右鼻塞,脓涕多,伴同侧偏头痛3年余,经外院上颌窦穿刺治疗,脓液减少,但鼻塞加重,于1992年12月3日诊断为肥厚性鼻炎入院。体检:一般情况良好,全身无异常发现。检查:外鼻无畸形,右鼻腔有一淡红色、表面光滑之肿物充满鼻腔,与下鼻甲相连,与鼻中隔相触,但可分开,对麻黄素不收缩;中鼻道与中鼻甲被遮盖。后鼻孔检查无异常发现。左鼻腔、咽喉、耳均正常。鼻窦柯、瓦位片:额筛窦发育良好,双筛窦清晰。右侧上颌窦透光度减低。右侧鼻腔下部有卵圆形边界清晰囊影。于12月7日在局麻下,行右侧下鼻甲部分切除术,术中用鼻甲剪在右下鼻甲前端剪一小口,有落空感,并从切口中流出稀薄脓液约8ml,下鼻甲随之瘪缩,见下鼻甲为一薄骨腔,清刮脓腔壁,剪除下甲游离缘。见中鼻甲及鼻道均正常。术中出血少量,鼻通气良好,病理组织检查为鼻腔慢性炎症。脓液培养为阴性,出院诊断;下鼻甲脓肿。7天后痊愈出院。 例2 女,54岁。因右鼻阻塞伴脓涕5年余,曾在
Example 1 patient, male, 24 years old. Due to the right nasal obstruction, purulent nasal discharge, more than 3 years with ipsilateral migraine headache, the external hospital maxillary sinus puncture, pus reduction, but aggravating nasal congestion, in December 3, 1992 diagnosis of hypertrophic rhinitis admission. Physical examination: generally good, no abnormal body found. Check: no external deformity nose, right nasal cavity has a light red, smooth surface of the tumor filled the nasal cavity, connected with the inferior turbinate, and nasal septum phase contact, but can be separated, ephedrine does not shrink; middle nasal passages and middle turbinate is covered. After the nostril examination found no abnormalities. Left nasal cavity, throat, ears are normal. Sinus Ko, watt-bit film: Amount of ethmoid well-developed, double ethmoid sinus clear. Right maxillary sinus transmissivity decreased. Right lower nasal oval border clear cyst shadow. On December 7 under local anesthesia, line the right inferior turbinate partial resection, intraoperative turbinate cut in the lower right turbinate front cut a small mouth, a sense of loss, and from the incision out of thin pus about 8ml, inferior turbinate Concomitant deflated, see inferior turbinate as a thin bone cavity, scraping abscess wall, cut off the armor free edge. See middle turbinate and nasal passages are normal. A small amount of bleeding, nasal ventilation, pathological examination for nasal chronic inflammation. Pus culture negative, discharge diagnosis; inferior turbinate abscess. Seven days after he was discharged. Example 2 Female, 54 years old. Due to the right nasal obstruction with purulent tears 5 years, had been