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钟某,男,6个月,住院号84101。1980年10月发现右侧鼻背部皮下有一小肿物,柔软无破溃,不痛,但逐渐增大。1981年2月17日入院。检查:发育正常,营养良好,体温36℃,脉搏100次/分。鼻右侧有一约1×1厘米大之肿物,质软,边界清楚,无压痛,无搏动,略呈紫蓝色,听诊无血管杂音。鼻腔无异常,鼻骨无缺损。其余未发现异常。心电图,胸透,肝、肾功能,血、尿常规等检查正常,血型“B”型。诊断:鼻部血管瘤。于1981年2月23日在基础强化麻醉及局部浸润麻醉下行鼻背血管瘤切除术,取右侧鼻背纵切口长3.5厘米,于鼻骨中段分离一个1×1厘米海绵团状略呈蓝色肿物。术中出血30～40毫升,输同型血40毫升。术后5天拆线,切口Ⅰ期愈合,一周后出院。肿物病检报告为鼻部海绵状血管瘤。讨论:①血管瘤不是真性瘤,其原因不
Zhong Mou, male, 6 months, hospital number 84101. In October 1980, he discovered that there was a small mass under the skin of the right nose and back, and it was soft and no ulceration, and it was painless, but gradually increased. He was admitted to hospital on February 17, 1981. Check: normal development, good nutrition, body temperature 36 °C, pulse 100 beats / min. On the right side of the nose, there was a large mass of about 1 x 1 cm. The mass was soft, the boundary was clear, there was no tenderness, no pulsation, and a slight purple-blue color. The auscultation was free of vascular noise. No abnormal nasal cavity, no defect of the nasal bone. No abnormalities were found in the rest. Electrocardiogram, chest, liver, kidney function, blood, urine and other normal examination, blood type “B” type. Diagnosis: nasal hemangiomas. On February 23, 1981, under the basic intensive anesthesia and local infiltration anesthesia, the nasal dorsum hemangioma was removed. The length of the right dorsolateral longitudinal incision was 3.5 cm, and a 1×1 cm sponge was slightly separated from the middle of the nasal bone. Masses. Intraoperative bleeding 30 to 40 ml, lose 40 ml of the same type of blood. The sutures were removed 5 days after the operation. The incision healed on the first stage and was discharged one week later. The tumor was diagnosed as a nasal cavernous hemangioma. Discussion: 1 Hemangioma is not a true tumor, the reason is not