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患者,女,22岁。主诉右侧鼻塞,偏头痛3年。3年前患者无明显诱因地出现右侧鼻塞,渐进性加重,伴偏头痛,无脓涕,用麻黄素滴鼻无效。查体见全身情况良好,左侧鼻腔粘膜红润,鼻甲大致正常,鼻道无分泌物,右侧鼻腔中甲肿胀、隆起,触之有囊性感,触痛明显,轻度活动,触之不出血,按压无溢出,下鼻甲受压变小。初步诊断为中鼻甲脓肿(右),用1%地卡因加少许肾上腺素表麻,切开中鼻甲粘膜,内有大量粘稠绿色脓性物,彻底刮除,中甲骨无完全吸收,筛窦已开放,刮除筛窦,内有大量类似豆腐渣类的脓性物,彻底刮除,切除多余中甲粘膜。筛窦内填塞灭滴灵纱条,鼻腔填塞凡士林纱条,术后3d 抽出纱条,右
Patient, female, 22 years old. Chief complaint on the right stuffy nose, migraine for 3 years. 3 years ago, there was no obvious incentive for patients with right nasal congestion, progressive increase, with migraine, no purulent nasal discharge, with ephedrine nasal drops ineffective. Examination of the body to see good condition, the left nasal mucosa ruddy, turbinate roughly normal, nasal secretions, the right nasal cavity in a swelling, swelling, touching a cystic sexy, tenderness, mild activity, with no bleeding , No pressure to overflow, lower turbinate pressure smaller. Initial diagnosis of middle turbinate abscess (right), with 1% plus a little adrenaline epinephrine ephedrine, cut the middle turbinate mucosa, a large number of viscous green purulent substance, completely curettage, no complete absorption in the bone, the sieve Sinus has been open, curettage ethmoid sinus, there are a large number of similar purulent tofu class, completely curettage, removal of excess mucosal. Ethmoid sinus stuffing dripping Ling gauze, nasal packing Vaseline gauze, 3ddrawing gauze after surgery, right