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患者男,60岁。因左侧鼻塞、头痛、发热近10天,于1993年9月21日以外伤性上颌窦炎入院。患者于20天前被他人用铁器击伤左面颊部,当时左面颊部肿胀,左侧鼻腔出血。给以口服止血及消炎药物治疗,鼻出血止,面部肿胀有所消退。近10天出现头痛、发热、左侧鼻腔阻塞等症状,当地医治无效,遂来院诊治。检查:体温39℃,急性病容,神清,检查合作,瞳孔等大等圆,光反射敏感。左上颌窦处肿胀,触痛明显,左鼻腔见较多暗褐色组织堵塞。右鼻腔未见异常,颈软。实
Male patient, 60 years old. Due to the left nasal congestion, headache, fever nearly 10 days, in September 21, 1993 with traumatic maxillary sinusitis admitted. The patient was wounded in the left cheek by an ironware 20 days ago when the left cheek was swollen and the left nasal bleeding. Give oral hemostasis and anti-inflammatory drug treatment, epistaxis, facial swelling has subsided. Nearly 10 days headache, fever, left nasal obstruction and other symptoms, local treatment is invalid, then to hospital for treatment. Check: body temperature 39 ℃, acute disease, Shenqing, check cooperation, pupils and other large circle, light reflection sensitive. Left maxillary sinus swelling, tenderness significantly, see the left nasal cavity more dark brown tissue blockage. No abnormalities in the right nasal cavity, neck soft. real