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鼻中隔溃疡的诊断及鉴别诊断

来源:华人健康网 | 发布时间:2011-02-17 09:31:32 | www.chinesejk.com

  鼻中隔溃疡是鼻中隔粘膜在特异性或非特异性有害因子作用下,发生的粘膜、粘膜下甚至粘软骨膜慢性炎性损害。成人,儿童皆可发病。

  诊断依据

  1.多有外伤史或继发于鼻中隔粘膜下切除术。经常挖鼻、化学药物反复烧灼,或并发于鼻腔特殊感染性疾病。少数并发于鼻中隔恶性肿瘤。

  2.鼻腔干燥,有脓痂形成,引起鼻塞及头痛,易发生鼻出血。

  3.鼻中隔前端小穿孔,呼吸时发生吹哨声。

  鉴别诊断

  与鼻中隔脓肿、鼻中隔穿孔等病相鉴别。

  检查

  鼻镜检查可见溃疡表面常有干痂附着,去除干痂可见创面,如为特种感染或恶性肉芽肿则溃疡形态不一,面积较大,创面较深,边缘呈增生性增厚。

(编辑:文莱 )

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