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患者、男,29岁,农民。1983年9月4日因右侧鼻塞,流脓血涕两年余,伴头痛头昏,嗅觉减退入院。检查:右鼻腔为暗红色肿物阻塞,表面粗糙,质软脆,中鼻甲前端腐烂出血,肉芽增生混有脓血性分泌物,味臭。右侧嗅觉明显减退。X线摄片显示右鼻腔与上颌窦有致密阴影。 入院后在表面麻醉下于右鼻腔取出多量陈旧性机化的血凝块及少量炎性肉芽组织和息肉。但中鼻道内血凝块不易取净。取出物送病检为:“右中鼻甲血肿”。右鼻腔通气改善。患者自动出院。1983年10月26日因症状复发再次入院治疗。局部麻醉下行右侧上颌窦根治,凿开上颌窦前壁见粘膜广泛息肉样变混有黄稠脓性分泌物,清理上颌窦病变时,见一褐色硬块嵌在上颌窦自然开口处,部分凸入窦腔。由上颌窦内取出困难,改从右鼻腔中鼻道
Patient, male, 29 years old, farmer. September 4, 1983 due to the right side of the nose and stuffy, running sore runny nose more than two years, with headache dizziness, loss of smell hospitalization. Check: the right nasal cavity was dark red mass obstruction, rough surface, soft and brittle, middle turbinate front rot bleeding, mixed with purulent granulation exudate, odor. Right olfactory obvious decline. X-ray showed a dense shadow of the right nasal cavity and maxillary sinus. After admission under the surface anesthesia in the right nasal cavity removed a large number of old and machine-made blood clots and a small amount of inflammatory granulation tissue and polyps. However, intra-nasal blood clots are not easy to take the net. Take the disease sent sick examination: “right middle turbinate hematoma.” Right nasal ventilation improved. Patient is discharged automatically. October 26, 1983 due to recurrence of symptoms and hospitalized again. Local anesthesia down the right maxillary sinus, open the anterior wall of the maxillary sinus see mucosal widespread polypoid mixed with yellow thick purulent secretions, clear the maxillary sinus lesions, see a brown lump embedded in the natural opening of the maxillary sinus, part of the convex Into the sinus cavity. Difficult to remove from the maxillary sinus, change from the right nasal nasal passages