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患者男,37岁,因咽异物感4月余入院。4月前,不明原因出现咽异物感,伴轻微麻胀感,无疼痛,无呼吸困难,正常进食。检查:咽部慢性充血,粘性分泌物较多。右侧扁桃体Ⅰ°肿大,表面光滑,无脓性分泌物附着;左侧扁桃体Ⅲ°肿大,表面有粘性分泌物,上极向鼻咽部延伸,下极与舌根平面相平,触之较硬,前表面光滑。前鼻镜检查:直视后鼻孔未见新生物。间接鼻咽镜检查:左侧新生物向鼻咽部延伸,左侧咽鼓管隆突未窥及,鼻咽后壁及右侧咽隐窝、咽鼓管隆突可窥及。左侧扁桃体诊断性穿刺
Male patient, 37 years old, because of foreign body sensation in more than 4 months admission. 4 months ago, unexplained pharyngeal foreign body sensation, with a slight swelling feeling, no pain, no breathing difficulties, normal eating. Check: pharyngeal chronic congestion, viscous secretions more. The right tonsil I ° swollen, smooth surface, no purulent secretions attached; the left tonsil enlargement Ⅲ °, the surface of the viscous secretions, the extreme extension of the nasopharynx, the lower pole and the flat root of the tongue phase, touch Hard, smooth front. Anterior Noseoscopy: There is no new biology after looking directly into the nostril. Indirect nasopharyngeal examination: the left of the new creature to the nasopharynx extension of the eustachian tube left eyelid not peep, nasopharyngeal wall and right pharyngeal recess, eustachian tube eruption can be seen. Diagnosis of lateral tonsil puncture