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患者,男24岁。主诉鼻流清水样液体及脑膜炎反复发作5年,在外院行抗生素等治疗后,头痛、呕吐症状消失,停药后复发。后转上级医院就诊,鼻漏液实验室检查为脑脊液(CSF),遂以“CSF鼻漏”收入院,拟行前颅窝开颅探查术。患者未接受手术来我院就医。追问病史,其幼年时头部曾有外伤史,但无耳聋。体检:全身情况好。右鼓膜完整,活动差。左鼓膜正常。纯音测听及阻抗检查:右耳重度感音神经性聋,B型曲
Patient, male, 24 years old. Chief complaint nasal water samples and meningitis recurrent five years, outside the hospital antibiotics and other treatment, headache, vomiting symptoms disappear after stopping recurrence. After the transfer to higher-level hospital for treatment of rhinorrhea laboratory tests for cerebrospinal fluid (CSF), then “CSF rhinorrhea” income hospital, the proposed craniofacial craniotomy exploration. Patients did not receive surgery to our hospital for medical treatment. Asked history, the head had a history of childhood trauma, but no deafness. Physical examination: the whole body is good. Right tympanic membrane integrity, poor activity. Left tympanic membrane normal. Pure tone audiometry and impedance test: the right ear severe sensorineural hearing loss, B type song