鼻腔妊娠性巨大血管瘤1例

Giant nasal septalhaemangioma in pregnancy:one case report

1病例报告 患者,女,26岁。第1胎妊娠34周,因＂右侧鼻塞伴反复鼻出血6个月＂急诊入院。患者曾在妊娠1个月时感右鼻塞于当地医院就诊,检查见右侧鼻腔新生物,鼻腔血管瘤可能,考虑患者妊娠初期,手术风险较大,继续观察。病程中反复少量鼻出血,经自行压迫后均能自止,2014年12月5日04：30左右再次鼻腔出血,自行压迫后未能止血,出血较剧，约200ml，来我院急诊抢救。

Summary A pregnant lady inher third trimester presented with a rapidly growing right-sided nasal massasso- ciated with epistaxis and nasal obstruction for six months. Examination showed a non tender, protrudingmass completely occluding her right nostril. Wide surgical excision was doneunder anaesthesia. Histopathology revealed capillary haemangioma. In a gravidpatient with a rapidly growing intranasal lesion, capillary haemangioma should- be considered as a differential diagnosis.