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1患者资料患者,男,42岁,主因右侧鼻腔间断性出血10天,于2010年12月21日入院。10天前患者开始右侧鼻腔间断性出血,量少,能自止,同时伴颅顶、枕部隐痛,双侧鼻腔无流涕、鼻阻及嗅觉减退;无复视及视力减退。入院检查:右眼球位正,视力1.0,双眼球活动自如。前鼻镜检查:右侧鼻腔黏膜充血,未见肿物。硬性鼻咽镜检查:右侧鼻腔黏膜充血,未见肿物。鼻窦CT示:右侧筛窦、蝶窦软组织肿块影,筛窦及蝶窦部分窦壁骨质破坏,考虑占位性病变,可能来自颅底。入院初步诊断:右侧鼻窦肿瘤。行各种
1 patient data patient, male, 42 years old, mainly due to the right side of the nasal cavity intermittent bleeding for 10 days, on December 21, 2010 admission. 10 days ago, the patient started intermittent right nasal bleeding, less, can be self-stop, accompanied by the top of the skull, occipital hidden pain, bilateral nasal flow without nasal discharge, nose resistance and loss of smell; no double vision and vision loss. Admission examination: Right eye position is positive, visual acuity 1.0, both eyes freely. Before the nose examination: the right nasal mucosa congestion, no tumor. Hard nasopharyngoscopy: the right nasal mucosa congestion, no tumor. Sinus CT showed: the right ethmoid sinus, soft tissue mass sphenoid sinus, part of the ethmoid sinus and sphenoid sinus bone destruction, consider space-occupying lesions may be from the skull base. Admission to a preliminary diagnosis: right sinus cancer. Various