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鼻衄是鼻科疾病常见症状,它既是单独的疾病,又是全身性疾病症状之一。现将两例长期鼻衄的误诊教训报告如下:例1:男,30岁。从后鼻孔间断流出陈旧性或鲜红色血性鼻涕两年。无前鼻孔流血史。血压20.0/13.3kpa,心脏正常,肝在肋下2厘米,中等硬。鼻腔鼻咽部粘膜色泽结构和鼻窦照片无异常发现,肝功能明显损害,血小板80×10~9/L,出凝血时间正常。发病后曾使用过各种止血药物和抗感染等措施均无效果。经多位专家会诊未能明确出血部位及原因,一次试将棉片分别放在鼻腔各部位,在左下鼻道的棉片上有粘附血液,随之经麻醉后将下鼻甲上折翻转,见下鼻道前端有一绿豆大酱色增生组织,病理切片为成堆浆细胞组织。经手术彻底清除病变后未再
The nose is a common symptom of nasal diseases. It is both a separate disease and one of the symptoms of systemic diseases. Two cases of misdiagnosis of chronic nasal discharge have been reported as follows: Case 1: Male, 30 years old. From the rear nostril, old or red bloody nasal discharges flow out intermittently for two years. No history of bleeding from the nose. Blood pressure 20.0/13.3kpa, normal heart, liver 2 cm below ribs, moderately hard. Nasal nasopharynx mucosal color structure and sinus photo no abnormal findings, liver damage, platelets 80 × 10 ~ 9 / L, the normal clotting time. After the onset, various hemostatic drugs and anti-infection treatments have had no effect. After a number of expert consultations failed to identify the site and cause of bleeding, cotton pieces were placed on each part of the nasal cavity at a time, and blood was adhered to the cotton piece on the lower left nasal meatus. Following anesthesia, the inferior turbinate was folded over. There was a mung bean misoproliferative tissue at the front of the inferior meatus, and the pathological section was a pile of plasma cell tissue. After surgery to completely remove the disease has not been