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患女,62岁。以主诉左鼻腔阻塞2年余,加重2月收住院。两年前原因不明左鼻腔阻塞,在当地医院按鼻炎治疗,鼻阻塞未能改善。近两月来发现左鼻腔有肿物长出,常流鼻血和擤血性鼻涕,鼻腔分泌物常呈棕黑色,有臭味。检查:T36℃,P64次/min,R20次/min,BP20/13.5kPa。全身面部皮肤无黑痣,口颊粘膜无色素斑。颈部淋巴结未触及,心肺肝脾无异常。局部检查:外鼻左侧膨隆,鼻腔有一新生物达前鼻孔,表面糜烂,有黑色结痂,臭味大,鼻腔完全被新生物占据,鼻中隔被新生物推向右侧。右下鼻甲、中鼻甲被偏曲之鼻中隔遮
Women, 62 years old. To complain left nasal obstruction more than 2 years, increased in February admitted to hospital. Two years ago, the cause was unknown left nasal obstruction, rhinitis treatment in the local hospital, nasal obstruction failed to improve. Nearly two months to find the left nasal cavity with tumor growth, often nosebleeds and bloody nasal discharge, nasal secretions often brown-black, stinky. Check: T36 ℃, P64 times / min, R20 times / min, BP20 / 13.5kPa. No facial skin mole, buccal mucosa without pigmented spots. Neck lymph nodes not touched, no abnormal heart and lung liver and spleen. Local examination: the left nasal extension of the nose, nasal nasal cavity has a new creature, surface erosion, scabs with black, stink, nasal completely occupied by new creatures, nasal septum is pushed to the right by the new creatures. Right inferior turbinate, middle turbinate nasal septum is covered by partial curvature