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女,12岁。患儿将带钩的金属钥匙链塞入左侧鼻腔3小时,1983年8月30日来院就诊。 检查:左侧鼻孔可见悬挂一条金属链条。双侧鼻腔均有血液,清洁鼻腔,用1％麻黄素收缩鼻粘膜,1％地卡因表面麻醉后,可见右侧鼻腔鼻中隔中段处有金属链钩尖。但未见钩体。鼻咽镜下可见鼻中隔后端渗血,未见金属链。金属链条一端在左鼻腔内并悬挂于鼻前孔外。 处理:开始考虑钥匙链钩穿透鼻中隔,即用直血管钳夹住链钩向左方向试取,但异物固定甚牢,不能
Female, 12 years old. Children will be hooked metal keychain into the left nasal cavity 3 hours, August 30, 1983 to the hospital. Check: the left nostril can be seen hanging a metal chain. Bilateral nasal blood, clean the nasal cavity, nasal mucosa with 1% ephedrine shrink, 1% surface anesthetic anesthesia, we can see the middle of the right nasal septum with a metal hook tip. But no hook body. Nasopharyngeal nasal septum visible end to end bleeding, no metal chain. One end of the metal chain in the left nasal cavity and hanging in front of the nose outside the hole. Treatment: begin to consider the key chain hook through the nasal septum, that is, with a straight vise clamp grip leftward to try, but the foreign body fixed very firmly, can not