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患者,女,59岁,以右侧鼻腔阻塞3年加重1年为主诉就诊于我院。患者3年前无明显诱因出现右侧鼻腔持续性阻塞,伴右侧鼻腔间断性黄浓涕、间断性头闷胀感、右侧嗅觉障碍,无右侧鼻腔反复出血、鼻部疼痛、头痛等症状。1年前患者感右侧鼻阻渐进性加重。入院检查:外鼻无畸形,鼻中隔未见明显偏曲,右侧下鼻甲肥大完全阻塞前鼻孔,使用麻黄素收缩下鼻甲后未见明显缩小;左侧鼻腔内、鼻腔后部及鼻咽部未见明显异常。入院后鼻窦冠状位CT(图1)示:右侧鼻腔息肉可能;右侧鼻窦、双侧后鼻孔区正常,CT未见鼻腔明显骨质浸
Patients, female, 59 years old, with a right nasal obstruction 3 years aggravating 1 year as the chief complaint in our hospital. Patient 3 years ago, there was no obvious incentive for persistent obstruction of the right side of the nasal cavity, with intermittent yellow nasal mucus on the right, intermittent dizzy feeling, right olfactory dysfunction, no recurrence of right nasal bleeding, nasal pain, headache, etc. symptom. 1 year ago, the patient’s right nasal resistance progressive increase. Admission examination: external nasal deformity, no obvious deviation in the nasal septum, right inferior turbinate hypertrophy completely blocked the front nostrils, the use of ephedrine contraction of the inferior turbinate after no significant reduction; left nasal cavity, nasal cavity and nasopharynx See obvious abnormalities. Coronal sinus CT after admission (Figure 1) shows: the right nasal polyps may be; the right sinus, bilateral nostril normal, CT no significant nasal bone immersion