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例1:女性、43岁。1976年6月7日初诊。主诉:流恶臭鼻涕、右牙痛、鼻出血。从2~3年前起即有鼻出血,2月前行右上颌窦冲洗时发现巧克力样恶臭的分泌物。疑为恶性肿瘤而转来检查。2年前作过子宫肌瘤摘除术。检查:右中甲后端结痂,用鼻后孔镜观察,见痂皮周围有坏死,易出血。X 线照片:右上颌窦开口附近有浓厚阴影,断层摄影疑上颌窦侧壁部分骨质破坏。全身检查无特殊。1976年6月29日行右上颌窦探
Example 1: Female, 43 years old. June 7, 1976 newly diagnosed. Chief complaint: stream smelly nose, right toothache, nosebleed. From 2 to 3 years ago that there is nosebleed, 2 months ago, right maxillary sinus flush found chocolate-like odor of secretions. Suspected of malignancy and transferred to check. 2 years ago made hysterectomy. Check: the back of a scab in the right middle, after the nasal cavity mirror observation, see necrosis around the crust, bleeding easily. X-ray: There is a strong shadow around the right maxillary sinus opening, tomography suspected skeletal destruction of part of the side wall of the maxillary sinus. No special body check. June 29, 1976 Right maxillary sinus exploration