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患者,女,18岁。因鼻塞、多脓涕1年余,于1999年10月来院就诊。专科检查:外鼻正常,鼻中隔两侧前部附着较多灰白色干痂,去除干痂后见鼻中隔穿孔约1.5 cm×1.5 cm大小,其边缘粘膜糜烂、充血,触之易出血,局部无增生迹象。双侧鼻底及鼻甲正常。患者一般情况良好,食欲、大小便正常,无进行性消瘦及咳嗽、咳痰、低热、盗汗史,无性接触史。X线胸片示:两肺未见异常。结核菌素试验(—),血沉3 mm/h,梅毒血清试验(一)。鼻中隔
Patient, female, 18 years old. Due to nasal congestion, purulent tears more than 1 year, in October 1999 to hospital. Specialist examination: normal nasal nasal septum attached to both sides of the front more gray dry scab, remove the dry scab see nasal septum perforation about 1.5 cm × 1.5 cm in size, the edge of mucosal erosion, congestion, easy to touch the bleeding, no signs of local proliferation . Bilateral nasal floor and turbinate normal. Patients generally good appetite, normal urine, no progressive weight loss and cough, sputum, fever, night sweats, a history of sexual contact. X-ray showed: no abnormal lungs. Tuberculin test (-), ESR 3 mm / h, syphilis serum test (a). nasal septum