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赵某,女,40岁.患者10个月前受凉后鼻塞发热,T38℃,流烂肉状脓涕,腥臭.按鼻炎治疗无效,病后10天咳嗽、脓痰带血,胸透为肺炎.用青、链及红霉素治月余无效.T38～39℃,脓涕脓痰仍无好转,伴乏力、关节痛、头痛.病后七个月来本院耳鼻喉科就诊,查鼻腔有肿物,活检为坏死组织,诊断为恶性肉芽肿.用氨苄青霉素、激素治疗7天后症状改善停药.2周后病情复发,服中药一月,病情渐恶化,口腔发生表浅溃疡,咯血入内
Zhao, female, 40 years old patients with nasal congestion after a cold 10 months ago, T38 ℃, stream rotten meat purulent nasal discharge, stench.According to the rhinitis treatment is invalid, 10 days after the illness cough, purulent sputum blood, chest through the pneumonia With green, chain and erythromycin treatment of the remaining months invalid .T38 ~ 39 ℃, purulent nasopharyngeal purulent sputum still no improvement, with fatigue, joint pain, headache .After seven months of illness in our hospital ENT treatment, check the nasal cavity With tumor, biopsy as necrotic tissue, diagnosis of malignant granuloma with ampicillin, hormone treatment for 7 days to improve the symptoms after stopping .2 weeks after the recurrence of disease, taking Chinese medicine in January, the disease deteriorated, oral ulceration, hemoptysis enter