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张××、女、54岁、山西人,住院号68361。主诉为左侧鼻塞流脓两年多。右彝反复出血一周。患者无剧烈头痛或恶心呕吐等颅压增高症状,也无自觉之视力障碍。检查:血压150/100mmHg。面部无明显畸形,鼻中隔显著右偏,左鼻腔被一息肉样物充满,并有很多脓性分泌物,右侧立氏区糜烂充血。X光片见中隔右偏,左鼻腔及筛区有一密度增高阴影,左上颌窦及眶内壁轻度向外侧移位,筛房间隔不清,左侧额窦、上颌窦均较混浊,右侧额窦明显扩大,但未见明显的骨质破坏。颅骨侧位片中可见额窦前后壁距离较宽。右侧鼻衄经凡士林油纱条加压填塞数日后停止。左鼻腔活检报告为脑膜瘤(上皮型)。乃于1983年4月11日经Moure氏切口
Zhang × ×, female, 54 years old, Shanxi, hospital number 68361. Chief complaint for left stuffy nose pus two years. Right Yi repeated bleeding a week. Patients without severe headache or nausea and vomiting increased intracranial pressure symptoms, but also without conscious vision disorders. Check: blood pressure 150 / 100mmHg. No obvious facial deformity, significant deviation of the nasal septum, the left nasal cavity was filled with a polyp sample, and a lot of purulent discharge, the right Li’s area erosion congestion. X-ray see the right deviated septum, the left nasal cavity and the screen area has a shadow of increased density, the left maxillary sinus and orbital wall mild lateral displacement, sieve room was not clear, the left frontal sinus, maxillary sinus were more turbid, right Lateral frontal sinus significantly expanded, but no obvious bone destruction. Skull lateral view of the frontal anterior and posterior wall can be seen a wide range. The right side of the epistaxis by petroleum jelly gauze pressure padding a few days later stopped. Left nasal biopsy was reported as meningioma (epithelial type). It was cut by Moure’s on April 11, 1983