患者,女,54岁,农民。因嗅觉减退20～30年、鼻出血1周及咽痛4d于2007年11月1日就诊。患者诉20多年前即开始鼻腔发干、嗅觉减退,逐年加重,出现鼻塞、有时涕中带血,且有他觉性恶臭味,1周前开始鼻腔经常流血,时多时少,近4d出现咽痛,难以忍受,就诊前1d鼻腔擤出白色小虫数条。体检:神 Patient, female, 54 years old, farmer. Due to the loss of smell 20 to 30 years, 1 week of epistaxis and sore throat 4d on November 1, 2007 treatment. Patients complain more than 20 years ago, nasal dryness, decreased sense of smell, increasing year by year, appear stuffy nose, and sometimes bloody nasal congestion, and his sense of stink smell, a week ago often nasal bleeding, sometimes more, less nearly 4d Sore throat, unbearable, 1d nasal cavity before the doctor a few white bugs. Physical examination: God