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患者,男,50岁。农民。1988年9月15日感冒并右耳水疱疹伴剧疼,当地曾按“外耳道感染”治疗好转。9天后出现头晕、耳鸣、视物不清,右口角流涎,左侧肢体活动不灵,以“脑血栓”收入院。 检查:体温正常,神清,语利,颈软,心、肺、腹(一)。右耳廓及外耳道可见少许疱疹及疱疹结痂。双眼底(一),右眼外展受限,有复视及水平性眼球震颤,面部感觉正常,右侧周围性面瘫,咽反射存在,伸舌居中。
Patient, male, 50 years old. Peasants. September 15, 1988 a cold and right ear water blisters with severe pain, the local once according to “external auditory canal infection” treatment improved. 9 days later, dizziness, tinnitus, blurred vision, right mouth drooling, left limb movement is not working, with “cerebral thrombosis” income hospital. Check: normal body temperature, clear spirit, language, soft neck, heart, lung, abdomen (a). Right auricle and external auditory canal can see a little herpes and herpes scab. Double eyes (a), the right eye is limited to outreach, diplopia and horizontal nystagmus, facial feeling normal, the right facial paralysis, pharyngeal reflex, extensor middle.