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鼻部恶性肉芽肿是一种少见而预后不良的疾病。国外文献报道较多,我国则在1957年起有陆续发现及报道。我院最近几年发现2例,其中1例获愈,1例死亡,现介绍如下。 例1.患者余××,男,57岁。因右鼻流涕及痂块3个月,伴有低热来诊。2年多来患者左鼻呼吸不畅,时有流黄水,并擤出淡黄色痂皮,近2个月来,上述症状加重,伴有低热,头痛,食欲减退,全身不适,无鼻衄,无耳鸣等。2年多来在本科及附近其他医院就医多次,均以慢性鼻炎,慢性副鼻窦炎治疗。既往健康,否认冶游史,否认有结核,梅毒史。有烟酒嗜好20余年。体检:一般情况良好,皮肤无明显病变。左侧颌下淋巴结肿大,豆样大小,能活动,无压痛。T 37.6℃,余无异常。局部检查:外鼻正常,左侧鼻腔变窄,各壁粘膜变厚,变硬,粗糙不平,有较多干痂附着,无明显臭味,取除干痂后见粘膜充血,部分有浅表溃疡,易出血。右侧
Malignant granuloma nasalis is a rare and poor prognosis of the disease. More foreign literature reports, our country in 1957 have been found and reported. Two cases were found in our hospital in recent years, of which 1 case was cured and 1 case died. The introduction is as follows. Example 1. Patients Yu × ×, male, 57 years old. Due to the right nasal discharge and crust block 3 months, accompanied by fever. Over the past two years, the patient left nasal respiratory failure, when the flow of yellow water, and out of the light yellow crust, the past two months, the above symptoms worse, accompanied by fever, headache, loss of appetite, general malaise, , No tinnitus and so on. More than 2 years in this hospital and other hospitals in the vicinity of many medical treatment, are chronic rhinitis, chronic sinusitis treatment. Past health, denied the history of travel, denied a history of tuberculosis, syphilis. Alcohol and tobacco have a hobby more than 20 years. Physical examination: generally good, no obvious skin lesions. Left submandibular lymph nodes, bean-like size, can activity, no tenderness. T 37.6 ℃, I no exception. Local examination: external nasal normal, narrowing of the left nasal cavity, mucosal thickening of each wall, hardened, rough, more dry scab attached, no obvious odor, remove the dry scab see mucosal hyperemia, some superficial Ulcer, bleeding easily. Right