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唐某,女,34岁.主诉从1982年开始严重鼻塞,但无涕,伴剧烈头痛,影响入眠。自以“重感冒”服中药,肌注青霉素等未见好转。以后流黄脓涕,时为咖啡色小团块,久治不愈。当地医院曾多次诊断“鼻息肉”。1986年7月22日来我院初诊,检查见鼻粘膜苍白,双下甲肥大,用3％麻黄素收缩后见双中道均有脓涕,左中甲表面附有白色膜状物,堵塞中道,不易脱落,触之出血。鼻咽部正常。X线照片诊断:前组全副鼻窦炎。即按副鼻窦炎治疗,给予呋喃西林麻黄素滴鼻,口服百炎净;鼻置换疗法每日一次。7月31日复诊:鼻塞,头痛减轻,鼻腔内脓涕减少,左
Tangmou, female, aged 34. Chief complaint began severe stuffy nose in 1982, but no tears, with severe headache, affecting sleep. Since “heavy cold” serving Chinese medicine, muscle penicillin, etc. did not improve. After the flow of yellow purulent tears, when brown small clumps, long treatment. The local hospital has repeatedly diagnosed “nasal polyps.” July 22, 1986 came to our hospital for first visit, see the nasal mucosa pale, double under a hypertrophy, with 3% ephedrine contraction double see middle school have purulent nasal, left middle armor surface with a white film, clogged Middle Road, not easy to fall, touch the bleeding. Nasopharyngeal normal. X-ray diagnosis: the former group of full sinusitis. According to the treatment of paranasal sinusitis, nitrofurazone ephedrine intranasal administration, oral 100 Yan net; nasal replacement therapy once daily. July 31 referral: stuffy nose, headache, nasal purulent nasal reduction, left