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女,35岁。因左鼻腔阻塞并流脓涕、恶臭16年入院。检查:左鼻腔腥臭,外鼻无崎形。右鼻腔阻塞不能内窥,内有脓性分泌物及似有肉芽肿,但用探针头触及坚硬物感,活动欠佳、易出血。曾4次被外院诊为“左侧慢性鼻窦炎”及“鼻腔异物”并试取过,因术中剧痛、出血多,昏倒而未成功。近因症状加重伴同侧头痛而就诊,初步诊断:左鼻腔牙合并结石。用1%麻黄素液棉片处理鼻腔及1%地卡因粘膜麻醉
Female, 35 years old. Due to the left nasal obstruction and purulent nasal discharge, stench 16 years hospitalization. Check: left nasal fishy, outside the nose no shape. The right nasal obstruction can not endoscopy, there purulent discharge and granulomatous, but with a probe head touches the hard object, poor activity, easy bleeding. Had four times outside the hospital diagnosed as “left chronic sinusitis” and “nasal foreign body” and tried to take, due to intraoperative pain, bleeding, fainting and unsuccessful. Proximal symptoms aggravated with ipsilateral headache and treatment, the initial diagnosis: the left nasal cavity with stones. Nasal and 1% dexamethasone mucosal anesthesia was treated with 1% ephedrine liquid cotton sheet