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患者,男,19岁。1989年11月2日因鼻部肿胀19天,伴疼痛8天入院。1989年9月4日因面部跌伤致鼻骨骨折,3周后鼻背右侧出现肿胀并逐渐波及左侧。10月25日鼻部出现疼痛,门诊两次抽吸白色稀薄脓液8ml。经肌注青霉素,鱼石脂软膏外敷治疗无效。体检:外鼻播散性肿胀以鼻背右侧显著,肿胀上达鼻根,下至鼻翼处。压痛明显,有波动感。鼻前庭及鼻腔各壁无糜烂、溃疡或肉芽。X线摄片示鼻骨骨髓炎,鼻窦及胸部X线摄片无异常。治疗:行鼻背脓肿切开引流,脓腔25mm×25mm大小。刮匙可触至骨粗糙面,脓液普通培养无细菌生长。经用先锋霉索ⅴ号、灭滴灵静滴12天后,局部脓液减少但脓腔未缩小。11月23日脓腔壁刮除物送病检。3天后鼻
Patient, male, 19 years old. November 2, 1989 swelling of the nose for 19 days, with pain 8 days admitted. September 4, 1989 due to facial injury caused by nasal fracture, 3 weeks after the swelling on the right side of the back of the nose and gradually spread to the left. October 25 nasal pain, outpatient twice suction white thin pus 8ml. After myopathy penicillin, fish stone ointment external application therapy is invalid. Physical examination: external nasal disseminated swelling to the right side of the nasal dorsal significantly, swelling up to the nasal root, down to the nose at. Tenderness obvious, there is a sense of volatility. Nasal vestibule and nasal wall without erosion, ulcers or granulation. X-ray showed nasal osteomyelitis, sinus and chest X-ray no abnormalities. Treatment: incision and drainage of nasal abscess, abscess 25mm × 25mm size. Scratch spoon can touch the rough surface of the bone, pus ordinary culture without bacteria growth. After using pioneer mold Suo No., metronidazole intravenous infusion of 12 days, the local reduction of pus but the abscess did not shrink. November 23 abscess wall scrape sent disease examination. 3 days after the nose