成人鼻腔昆蟲異物1例報(bào)告

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【摘要】  鼻腔異物在正常成年人中少見，其中活體飛蟲作為鼻腔異物的情況則更為罕見。研究分析了1例38歲女性的鼻腔異物，異物為一斷成兩截的昆蟲。這個病例強(qiáng)調(diào)了昆蟲作為侵入性異物的可能性，以及詳細(xì)的病史采集和鼻內(nèi)鏡檢查的重要性。臨床診療中需確認(rèn)取出異物的完整性，以避免異物的殘留。

【關(guān)鍵詞】  鼻腔異物；昆蟲；鼻內(nèi)鏡

中圖分類號  R532.39    文獻(xiàn)標(biāo)識碼  A    文章編號  1671-0223（2023）14--02

A case report of insect foreign body in nasal cavity in adults  Xiao Nianci. Department of Otolaryngology， The First Affiliated Hospital， College of Medicine， Zhejiang University， Hangzhou 310003， China

【Abstract】  Nasal foreign bodies are rare in normal adults， with live flying insects being even rarer as nasal foreign bodies. In this paper， we present a case of a 38-year-old female with a nasal foreign body in the form of a broken-into-two insect. This case highlights the potential for insects to act as invasive foreign bodies and the importance of detailed anamnesis and endoscopic nasal examination. The integrity of the removed foreign body needs to be confirmed to avoid foreign body residue.

【Key words】   Nasal Foreign Body; Insect; Endoscopy

1  病歷介紹

患者女，38歲，因飛蟲進(jìn)入左鼻后持續(xù)左鼻異物感1天就診于醫(yī)院耳鼻喉科門診，患者訴1天前飛蟲進(jìn)入左側(cè)鼻腔，反復(fù)擤鼻未能取出，伴鼻腔異物感，伴輕微鼻腔臭味，伴左鼻流清涕，并伴鼻癢及噴嚏，不伴鼻塞、鼻痛及鼻出血。（剩余2554字）