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笔者曾遇一例鼻腔金属异物长期滞留,形成鼻石,一直按“鼻窦炎”诊治,8年后方得确诊,现报告如下: 病例:男,13岁。右侧鼻塞、流涕已七八年,鼻涕为黄白色脓样,有时带血。一直在当地就医,按“鼻窦炎”治疗,曾肌注青霉素,口服新诺明、强的松,滴用“滴鼻净”等,用药后暂时稍好转。检查:右侧鼻腔充满黄白色脓性分泌物,味恶臭,吸除后见鼻腔内有一较大的褐色粗糙块状物,石质感,稍活动,周围粘膜糜烂,触之易出血。临床诊断:鼻石。拟外用1％地卡因表面麻醉下取出,因鼻石较大,无法从前鼻孔通过,多次试取未成功,改用持针钳将其夹碎后分块取出。观察鼻石核心为一钢珠,表面已锈蚀。其母回忆患儿5岁时曾诉将钢珠塞入鼻内,当
I have encountered a case of long-term retention of nasal foreign body metal, the formation of nose stone, has been treated according to “sinusitis”, 8 years after the side was diagnosed, are as follows: Case: male, 13 years old. The right stuffy nose, runny nose has seven or eight years, the nose and throat is yellow-white purulent, and sometimes bloody. Has been in the local medical treatment, according to “sinusitis” treatment, had muscle injection of penicillin, oral nocturnine, prednisone, drops with “nasal drops net” and so on, after treatment temporarily improved. Check: The right side of the nasal cavity filled with yellow-white purulent discharge, smell smelly, see the nasal cavity after inhalation of a larger brown rough block, a sense of stone, a little activity, the surrounding mucosal erosion, easy to touch the bleeding. Clinical diagnosis: nose stone. To be topical 1% dexamethasone under the surface anesthesia removed, because of the larger nose, can not pass the former nostrils, many unsuccessful try to switch to a needle holder to clamp the broken pieces removed. The nucleus of nose stone is a steel ball, the surface is corroded. His mother recalled the children had 5 years old when the steel ball into the nose, when