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患者,男,43岁,因左鼻外伤后流脓血涕3月余,于1990年6月20日以副鼻窦炎收入院。患者3月前因酒后骑自行车不慎摔伤鼻部,当时曾大量出血不止,在当地医院曾3次行鼻腔填塞后方止血,但从此后左鼻腔粘膜糜烂及持续流脓血涕,经多方对症治疗无效。体格检查:全身未发现特殊情况。专科检查:左鼻腔粘膜暗红,下鼻甲较小,中鼻甲肥大与鼻中隔相连,中鼻甲及中鼻道表面见黑色血痂样物附着,中鼻道的中后部顶端可见褐色团块,质硬。右鼻腔正常。间接鼻咽镜见左右鼻孔及左下鼻甲后端
The patient, male, aged 43, was admitted to hospital for sinusitis on June 20, 1990, after more than 3 months of post-nasal discharge of runny nose. Three months ago, the patient accidentally threw his nose on a bicycle for drunk driving. At that time, there was a large number of bleeding. In the local hospital, the hemostasis was performed three times after nasal packing. However, after the left nasal mucosal erosion and persistent bleeding pus, Symptomatic treatment is invalid. Physical examination: the body did not find any special circumstances. Specialist examination: the left nasal mucosa dark red, lower turbinate smaller, middle turbinate hypertrophy and nasal septum connected to the middle turbinate and middle nasal surface see black blood scab-like attachment, the middle of the back of the middle of the nose visible brown mass, quality hard. Right nasal cavity is normal. Indirect nasopharyngeal see left and right nostrils and the posterior end of the left inferior turbinate