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患者,男,81岁,因左侧鼻腔堵塞,渐加重,常有鼻衄、头痛、回缩痰中带血1年入院。体检:左侧鼻腔有一约1.2×1.5cm 大小粉红色新生物,表面欠光滑,探之较软有弹性,但用力触之有出血,外观似息肉样,根部位于中鼻甲,鼻咽部未见异常。X 线副鼻窦摄片:左鼻腔有一拇指大小阴影,左上颌窦密度增高,骨质未见破坏。拟诊:左鼻炎症性息肉。次日患者在表麻下行“左鼻息肉”摘除术(并切除部分中鼻甲)。术中出血较多,用电烙铁烧灼创面,并填入凡士林纱条。术后第2天抽除纱条,用1%呋喃西林麻黄素滴鼻。10天后患
Patients, male, 81 years old, due to blockage of the left nasal cavity, gradually aggravating, often epistaxis, headache, retraction phlegm with blood 1 year admission. Physical examination: The left nasal cavity has a size of about 1.2 × 1.5cm pink organism, the surface is less smooth, exploration of the soft and flexible, but the force of bleeding, the appearance of polypoid, the root is located in the middle turbinate, nasopharynx no abnormal. X-ray paranasal radiography: the left nasal cavity has a thumb size shadow, increased density of the left maxillary sinus, no damage to the bone. To be diagnosed: Left rhinitis polyps. The next day the patient under the line anesthesia “left nasal polyp” removal (and removal of part of the middle turbinate). Intraoperative bleeding more, burn wounds with electric iron, and fill in Vaseline gauze. On the second postoperative day, gauze was removed and dripped with 1% furacillin ephedrine. 10 days later