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作者在一年中鼻炎门诊共发现自发性脑脊液鼻漏3例,占门诊新病例的1%,脑脊液鼻漏的诊断取决于详细的病史。鼻漏常为单侧、与体位变动有关而与过敏和鼻塞无关,既往可有头部外伤或手术史、脑膜炎反复发作与占位性病变有关症状均属重要指征。鼻部检查多无帮助,由额骨骨折或肿物引起者则可有嗅觉丧失,脑脊液量于病人前俯和憋气时增加,收集漏出液化验的葡萄糖浓度高即可确诊,但需排
In one year, the author found 3 cases of rhinorrhea of spontaneous cerebrospinal fluid in rhinitis clinic, accounting for 1% of new cases of outpatient diagnosis. The diagnosis of cerebrospinal fluid rhinorrhea depends on the detailed history. Rhinorrhea often unilateral, and changes in posture and allergies and nasal obstruction has nothing to do with the past may have head trauma or surgery history, meningitis recurrent and occupational lesions related to the symptoms are an important indication. Nasal examination and more helpless, the frontal bone fracture or tumor caused by those who may have loss of smell, cerebrospinal fluid volume in the patient before the dive and suffocating increased collection of leak test fluid glucose concentration can be confirmed, but the need to row