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患者男性,59岁,工人,住院号56637。患者于去年10月从6米高处坠下,左侧面部及鼻部着地,致鼻骨粉碎性骨折,左侧鼻骨向内凹陷,鼻梁向右呈弓形偏曲,当时仅作一般止血处理,导致鼻外观畸形,且于第九天起右鼻孔逐渐出现通气功能障碍,而完全阻塞。85年元月来我院就诊时查体;鼻梁左侧凹陷性塌陷,右侧呈弓形突起,鼻中隔向右侧高度偏曲,与下甲及前庭皮肤粘连紧密,通气功能完全消失。于元月7日在局麻及表麻下行鼻中隔软骨膜下软骨离断术治疗鼻骨折致鼻孔闭锁。在1%奴夫卡因局麻下,首先将鼻中
Male patient, 59 years old, worker, hospital number 56637. The patient fell from a height of 6 meters in October last year. The left side of the face and nose landed causing comminuted fracture of the nasal bone. The left nasal bone was inwardly sagged and the bridge of the nose bowed to the right. At that time, only general hemostasis was performed, resulting in Nasal appearance deformity, and the right nostril gradually appeared on the ninth day of ventilation dysfunction, and completely blocked. 85 years to come to our hospital for examination in January when the body check; nasal left concave depression, bow on the right side of the bulge, the height of the nasal septum deviated to the right, and the inferior lamina and vestibular skin adhesion, ventilation completely disappear. On January 7, under local anesthesia and epicenter of the epicardium subchondral septal cartilage surgery to treat nasal fracture caused by nasal atresia. Under 1% Nuvocaine local anesthesia, the first will be in the nose