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患者女， 38岁。因鼻塞、流脓涕 2年就诊。患者 2年前无明显诱因出现间歇性鼻塞及流脓涕，开始未予诊治。数月后鼻塞症状加重且持续存在，流涕症状也加重，以右侧为重，有时脓涕向后流入咽部，偶尔出现血性涕。曾于当地多家医院给予多种抗生素治疗无效。 体检：各系统检查未见
Female patient, 38 years old. Due to nasal congestion, runny nose 2 years treatment. 2 years ago, there was no obvious incentive for patients with intermittent nasal congestion and purulent nasal discharge, no diagnosis and treatment. Symptoms of nasal congestion worsened and persisted after a few months, and symptoms of runny nose were also exacerbated. On the right side, purulent tears sometimes flowed back into the throat and bloody tears were occasionally seen. Many local hospitals were given a variety of antibiotic treatment ineffective. Physical examination: the system check no