鼻腔鼻竇結(jié)核誤診為慢性鼻-鼻竇炎2例
發(fā)布時(shí)間:2018-03-22 20:41
本文選題:鼻竇炎 切入點(diǎn):結(jié)核 出處:《臨床耳鼻咽喉頭頸外科雜志》2017年12期 論文類型:期刊論文
【摘要】:正1病例報(bào)告例1女,47歲,以"右鼻阻流涕半年、加重伴雙鼻阻2個(gè)月"為主訴于2016年8月19日入院。伴右側(cè)嗅覺(jué)減退,無(wú)發(fā)熱、頭痛、鼻腔出血,無(wú)咳嗽、胸痛及乏力、盜汗。19歲時(shí)曾患肺結(jié)核,經(jīng)系統(tǒng)抗結(jié)核治療痊愈。查體:鼻外形正常,鼻竇區(qū)無(wú)壓痛,鼻腔黏膜高度水腫。內(nèi)鏡見(jiàn)右側(cè)總鼻道、左側(cè)后鼻孔被大量黃色黏稠性分泌物堵塞,清除后右側(cè)中鼻甲及下鼻甲中后端、與中鼻甲相對(duì)應(yīng)鼻中隔黏膜、鼻咽部黏膜、左后鼻孔黏膜表面均附著白色軟組
[Abstract]:Case 1: a 47-year-old female with "right nasal obstruction for half a year, aggravated with double nasal obstruction for 2 months" was admitted on August 19, 2016. The patient was admitted to hospital on August 19, 2016, with right side olfaction, no fever, headache, nasal hemorrhage, no cough, chest pain and fatigue. Night sweats. 19 years old had tuberculosis, cured by systemic anti-tuberculosis treatment. Body examination: normal nasal shape, no tenderness in the nasal sinus area, nasal mucosal edema. Endoscopy showed the right nasal canal, left posterior nostril was blocked by a large amount of yellow thick secretion. After clearance, the right middle turbinate and the middle posterior end of inferior turbinate were attached to the white soft group, corresponding to the nasal septum mucosa, nasopharynx mucosa and left posterior nostril mucosa.
【作者單位】: 山東威海解放軍第四0四醫(yī)院耳鼻咽喉頭頸外科;
【分類號(hào)】:R529.8
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本文編號(hào):1650299
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