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患者,女,43岁。因右侧渐进性鼻堵1年余,伴失嗅收住院。无鼻腔异物病史。检查见鼻尖及鼻翼处皮肤弥漫充血,呈片状红斑,部分表面有毛细血管扩张,左鼻腔总鼻道内见形状不规则褐色块状物,质坚如石。鼻窦 X 线片示:左上颌窦金属样密度阴影,左鼻腔结石阴影。于局麻下行鼻石取出术,分块取出,见中隔被推压向对侧,鼻甲粘膜大部萎缩,行左上颌窦鼻内开窗术,清理出干酪样分泌物,送细菌培
Patient, female, 43 years old. Progressive nasal blockage due to the right side of more than 1 year, with loss of smell admitted to hospital. No nasal foreign body history. See the nasal tip and nose to see the Department of diffuse congestion of the skin, was flaky erythema, part of the surface of the capillaries dilated, see the left nasal total nasal irregular brown irregular shape of the block, as strong as stone. Sinus X-ray showed: left maxillary sinus metal-like density shadow, left nasal cavity shadow. Local anesthesia nasal removal surgery, remove the block, see the septum is pushed to the contralateral, most of the nasal mucosa atrophy, left maxillary sinus intranasal fenestration, clear out the cheese-like secretions, bacterial delivery