鼻鸣较为少见,且多为异常的腭肌阵挛性收缩所致,我们收治1例因鼻中隔穿孔所致,报告如下。患者男,26岁,3年前在村办厂做临时工时不慎吸入少量硫酸烟雾,以后即始终感鼻腔干燥,并反复鼻出血,近1月来随呼吸鼻部出现高低不等的呜叫声,剧烈活动时尤其响亮。于1990年9月18日来院就诊。鼻科检查:鼻腔粘膜广泛充血、糜烂,各鼻甲不肿,鼻底部无新生物,鼻中隔中部下方有一0.5cm×0.4cm椭圆形穿孔,边缘尚光滑,双后鼻孔及鼻咽部未见异常。病人平稳呼吸时鼻部发出“嘘嘘”的响声,5米内清晰可闻,未经Perters声级计记录强度,嘱憋气或用口呼吸,鼻鸣消失,手指压迫任何一侧鼻翼时鼻鸣也消失。诊断:鼻鸣,鼻中隔穿孔。常规局麻加表麻下行鼻中隔穿孔修补 Nasal ringing is more rare, and mostly due to abnormal palatal myoclonic contraction, we admitted to a case of nasal septum perforation, the report is as follows. Male, 26 years old, 3 years ago in the village set up factories to do temporary work hours inadvertently inhaled a small amount of sulfuric acid smoke, and later that always feel nasal dry and repeated epistaxis, with the nose in recent months, ranging from varying degrees of crying Sound, especially loud during intense activity. In September 18, 1990 to hospital. Nasal examination: extensive nasal mucosa congestion, erosion, each turbinate is not swollen, no new creature at the base of the nose, nasal septum below a 0.5cm × 0.4cm oval perforation, the edge is still smooth, double after the nose and nasopharyngeal no abnormalities. When the patient breathe smoothly, the nose makes a “hissing” noise and can be heard clearly within 5 meters. The intensity is recorded without the Perters sound level meter, and the breath or the mouth is exhaled. The nasal ring disappears. When the finger presses any one of the nasal passages, disappear. Diagnosis: nasal, nasal septum perforation. Conventional local anesthesia ephedra nasal septum perforation repair