摘要
患者,男,50岁,因＂间断右鼻出血2d＂入院。入院后,前鼻镜检查未见出血部位,咽后壁可见活动性血流,且患者精神紧张,不能配合鼻内镜检查,遂局部麻醉下行右侧后鼻孔栓塞加右前鼻孔填塞,填塞后无活动性渗血。既往史：饮酒史35年,早、中、晚餐均饮酒（酒精度60%~70%vol）,每天饮酒总量在500ml左右。入院后查血常规、出凝血时间、肝肾功能均未见异常,予抗炎、止血对症治疗。拟72h后开始逐步抽取前鼻孔填塞纱条。第3天晨查房时,患者诉＂右侧后鼻孔有流水声,持续时间约10s,发作较频繁＂,并强调一直能听见该声音。
Summary The patient with long history of alcohol was admitted because of intermittent right nasal bleeding for two days,and treated by nasal packing. After 3 days, the patient exhibited auditory hallucinations and immedi- ately showed rage, mania, sweating and fever. CT examination showed calcification in the right frontal lobe, brain atrophy and sinusitis. Diagnosis： epistaxis and alcohol withdrawal syndrome, deviated septum, sinusitis.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2014年第2期139-140,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻出血
酒精依赖
epistaxis alcohol dependence
