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鼻腔水蛭误诊其他鼻病达2年之久属罕见,笔者遇1例,报告如下。患者,女,12岁,于1989年9月底开始鼻塞、打喷嚏、头昏,继左鼻出血,每日2～3次。曾以“感冒”、“鼻炎”诊治无效。近半年来上述症状日益加剧,于1991年9月16日来本所就诊。病发前1周许,有饮生水史,无鼻衄和鼻部外伤史。查体:除低热、神倦、咽喉慢性充血外,余未见异常。化验:血常规和血小板正常。鼻腔检查:左中、下鼻甲中度肥大,鼻粘膜糜烂,有少许血性分泌物。用1%麻黄液收敛后,取60度仰头位检查发现左上鼻道下端与中鼻道上端有一长条褐色异物,在光照下可见环状蠕动。
Nasal leech misdiagnosis of other nasal disease up to 2 years is rare, I met a case, the report is as follows. Patient, female, 12 years old, started nasal congestion, sneezing, dizziness, followed by left nasal hemorrhage 2 to 3 times daily at the end of September 1989. Once “cold”, “rhinitis” diagnosis and treatment is invalid. The past six months the above symptoms are increasing, in September 16, 1991 to the clinic. 1 week before the onset of disease, a history of drinking raw water, no nose and nose and nasal trauma history. Physical examination: In addition to fever, God tired, chronic throat congestion, I no abnormalities. Laboratory tests: blood and platelets normal. Nasal examination: left middle and lower turbinate moderate hypertrophy, nasal erosion, a little bloody discharge. With 1% ephedra convergence, take 60 degrees upward head position examination found that the lower left nasal passages and the middle of the middle of the nose has a long brown foreign body, visible in the light of circular peristalsis.