Understand the patient's past medical history comprehensively and accurately, including: heart disease, asthma, hypertension, diabetes, allergies, etc. Among them, the history of heart disease generally needs to know whether there are palpitations, palpitations, limited activity and so on. Family history should know whether there is hypertension, cerebrovascular accident, cerebrovascular malformation, hemangioma, etc. In the family; Allergy history, need to inform the doctor in detail whether there are drug allergies, food allergies, contact allergies, etc. In addition, you may know whether you have the habit of staying up late and the pressure of life.
Check whether there is inflammation in the nose and its adjacent parts: patients with acute inflammation such as abscess and upper respiratory tract infection, as well as patients with symptoms of nasal infection such as acne, should suspend surgery; When patients with allergic rhinitis attack, use drugs to control symptoms and postpone surgery.
Record the anatomy of the nose, including the state of the skin and subcutaneous tissue of the nose, the supporting structure of the nose, the relationship between the tip of the nose, the bottom of the nose, the nose and the upper lip, and the internal inspection of the nose (so face-to-face communication between doctors and patients before operation is necessary). If the crooked nose is corrected, a radiographic examination is usually needed. Arrange preoperative examination according to the evaluation of face-to-face consultation.
Preoperative examination items of surgical operation include: routine examination, coagulation examination, preoperative examination, liver and kidney function, electrolyte, blood sugar, blood lipid, electrocardiogram, chest X-ray, examination of special parts, etc. Different surgical operations have different requirements for preoperative examination, and the patient's past medical history and health status will also affect the items of preoperative examination.