患者郁××,男、38岁,车工。因右耳肿痛,口眼歪斜,头昏于于87年1月16日来院。患者7天前右耳廓、外耳道簇生许多透明小疱,剧烈耳痛,并向耳颞部放射。5天后右侧出现面瘫,眩晕,听力改变等。曾在该厂医务室抗感染治疗无效。 检查:患者发育正常,一般情况好,血压146/86毫米汞柱,神志清晰,余无特殊发现。 专科检查:右侧完全性面瘫,前额纹消失,不能皱眉,右耳廓、外耳道皮肤段红肿,鼓膜混浊,未见穿孔,乳突部无压痛,镫骨肌反射试验听觉过敏,右舌前2/3味觉丧失,右舌下腺,颌下腺分泌减少,右眼泪量明显少于左眼,轻度复视,时有 Patients Yu × ×, male, 38 years old, turner. Due to pain in the right ear, Kouyanwaixie, dizziness in January 16, 1987 to hospital. Patients 7 days ago, right auricle, ear canal cluster many transparent small blisters, severe earache, and radiation to the ear and temple. 5 days after the emergence of facial paralysis, dizziness, hearing changes and so on. Anti-infective treatment in the factory clinic was invalid. Check: Patients with normal development, the general situation is good, blood pressure 146/86 mm Hg, conscious, I found no special. Expert examination: the right facial paralysis, forehead pattern disappeared, can not frown, right auricle, external auditory canal skin swelling, tympanic membrane turbidity, no perforation, no tenderness of the mastoid, stapedius reflex test auditory hypersensitivity, right tongue 2 / 3 Loss of taste, the right sublingual gland, submandibular gland secretion decreased, the right tears were significantly less than the left eye, mild diplopia, sometimes