女,45岁。主诉:鼻塞、流脓血涕伴头痛2年余。1958年10月因泪囊炎在外院行”鼻腔泪囊吻合术”,术后鼻腔内曾置一椎形金属管进行扩张。其后调外地工作。1980年开始头痛,时轻时重,内科以“神经官能症”多次治疗无效。1983年来我科就诊。检查:右鼻腔粘膜充血、水肿,鼻总道有脓血性分泌物,鼻中甲前端有一异物,质硬。咽喉均正常。鼻窦X线瓦氏位拍片示鼻腔有一长约3cm之椎形金属异物。诊断:鼻 Female, 45 years old. Chief complaint: nasal obstruction, runny nose with headache more than 2 years. In 1958 October due to dacryocystitis in the hospital line “nasal dacryocystorhinostomy”, postoperative nasal cavity had a vertebral metal tube for expansion. Later transferred to work outside. Headache began in 1980, when light and heavy, internal medicine to “neurosis” repeated treatment ineffective. 1983 to our department. Check: right nasal mucosal congestion, edema, nasal discharge pus and blood, nasal A front-end foreign body, hard. Throat are normal. Valsalva X-ray film shows nasal cavity has a length of about 3cm of vertebral metal foreign body. Diagnosis: nose