鼻腔蝇蛆症较少见,笔者诊治一例,现报告如下。1 病历摘要 患者男,65岁。以头痛、右鼻腔流血20天,于1992年12月15日入院。患者入院前曾在广东某医院“拟萎缩性鼻炎”两次住院治疗未见好转。查体:神清,表情痛苦,检查合作,副鼻窦区无压痛。鼻镜检查:左鼻腔粘膜糜烂,有大量黄色脓痂,上、中、下鼻甲轻度萎缩,右鼻腔变宽,粘膜糜烂、腐臭,粘附大量暗红色脓血物,鼻道模糊不清。其余体征无特殊。血常规、血小板计数及出凝血时间均在正常值范围。副鼻窦及胸部X线摄片呈阴性征。初诊为“萎缩性鼻炎”,给予全身抗菌素及止血药治疗,局部用生理盐水冲洗鼻腔,冲洗出血痂及脓性分泌物,后滴入2％链霉素溶液,未见好转。次日再行鼻 Nasopharyngeal myiasis is rare, the author diagnosis and treatment of a case, are as follows. Patient male, 65 years old. In a headache, right nasal bleeding 20 days, in December 15, 1992 admission. Before admission to hospital, a hospital in Guangdong, “atrophic rhinitis,” two hospitalizations did not improve. Examination: Shenqing, facial expression pain, check cooperation, paranasal sinus area without tenderness. Noseoscopy: left nasal mucosal erosion, a large number of yellow suppurative scab, upper, middle and lower turbinate mild atrophy, right nasal broadening, mucosal erosion, rancid, a large number of dark red pus adhesion, nasal blurred. Other signs no special. Blood, platelet count and clotting time are in the normal range. Paranasal sinus and chest X-ray showed negative signs. Newly diagnosed as “atrophic rhinitis”, given systemic antibiotics and hemostatic treatment, local nasal irrigation with saline, bleeding scab and purulent bleeding, after dropping 2% streptomycin solution, no improvement. The next day again nasal