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例1 患男,21岁。1984年7月23日入院2。d前被枪弹跳弹击伤鼻前庭部,当时鼻、口流血约100ml,头晕、头痛、鼻塞,经包扎后转来。检查:左侧鼻翼与鼻前庭移行处有边缘不整齐伤口,鼻中隔高位两侧粘膜破裂、缺损,可见突出的中隔软骨,右侧下鼻甲上方、中鼻甲后端粘膜破裂、渗血,由此用侦针向后外上方探查未触及异物。右眼结膜充血,双眼视力及眼底正常。X 线异物定位显示:右侧筛窦内2.3cm×0.6cm 金属异物。经缝合鼻前庭伤口,2 d 后在X 线屏幕下,局麻,经右侧鼻腔开放筛窦,将异物钳除,1周后痊愈。异物2.0cm×1.0
Example 1 suffering from men, 21 years old. July 23, 1984 admission 2. d was hit by a bullet bounce before the nasal vestibular department, then nose, mouth bleeding about 100ml, dizziness, headache, stuffy nose, after the transfer to the bandaged. Check: the left side of the nose and nasal vestibular migration at the edge of irregular wounds, nasal septum mucosa high on both sides of the rupture, defect, showing prominent septal cartilage, right inferior turbinate above the middle turbinate rear mucosal rupture, bleeding Use the needle to probe the foreign body outwards. Right conjunctival hyperemia, binocular vision and fundus normal. X-ray foreign body localization shows: 2.3cm × 0.6cm metal foreign body within the right ethmoid sinus. The sutured nasal vestibular wound, 2 d after the X-ray screen, local anesthesia, the right nasal opening ethmoid, the foreign body forceps, 1 week after recovery. Foreign body 2.0cm × 1.0