鼻腔鼻窦结核误诊为慢性鼻-鼻窦炎2例

发布时间：2018-03-22 20:41

  本文选题：鼻窦炎　切入点：结核　出处：《临床耳鼻咽喉头颈外科杂志》2017年12期 　论文类型：期刊论文

【摘要】：正1病例报告例1女,47岁,以"右鼻阻流涕半年、加重伴双鼻阻2个月"为主诉于2016年8月19日入院。伴右侧嗅觉减退,无发热、头痛、鼻腔出血,无咳嗽、胸痛及乏力、盗汗。19岁时曾患肺结核,经系统抗结核治疗痊愈。查体:鼻外形正常,鼻窦区无压痛,鼻腔黏膜高度水肿。内镜见右侧总鼻道、左侧后鼻孔被大量黄色黏稠性分泌物堵塞,清除后右侧中鼻甲及下鼻甲中后端、与中鼻甲相对应鼻中隔黏膜、鼻咽部黏膜、左后鼻孔黏膜表面均附着白色软组
[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.
【作者单位】： 山东威海解放军第四0四医院耳鼻咽喉头颈外科;
【分类号】：R529.8
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本文编号：1650299