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例1:男,18岁。入院前40天开始声嘶,3～4天后左耳疼痛伴轻度耳鸣及听力下降,自觉发热,持续4～5天后咽痛,吞咽困难,一度发作剧烈眩晕,继而轻度平衡障碍,左耳听力减退,耳内肿块伴流脓,左侧面瘫。肿块活检为嗜酸性肉芽肿,侵犯外耳道。既往史及家庭史无特殊。体查:全身无异常发现,左侧外耳道骨性段可见一光滑红色肿块,质软易出血.音叉试验左耳为混合性聋.左侧周围性面瘫。间接喉镜下见左声带瘫痪,居旁正中位。颅底及颈静脉孔X线片示左岩尖及附近颅中窝骨质及左侧颈静脉孔均有明显骨质破坏。胸透正常。血象:血红蛋白
Example 1: Male, 18 years old. Acoustic fistula started 40 days before admission, left ear pain with mild tinnitus and hearing loss after 3 to 4 days, spontaneous fever, persistent pharyngeal pain 4 to 5 days, dysphagia, severe seizures, mild dysequilibrium, left ear Hearing loss, swelling in the ear with pus, left facial paralysis. The biopsy of the mass was an eosinophilic granuloma that invaded the external auditory canal. There is no special history or family history. Physical examination: There was no abnormality in the whole body, and a smooth red mass was seen in the bony segment of the left external auditory canal, which was soft and easy to bleed. The left ear of the tuning fork test was a mixed hemorrhoid. The left peripheral facial paralysis was performed. Under the indirect laryngoscope, see the left vocal cord paralyzed, with a median position next to it. X-ray films of the skull base and jugular foramen showed obvious bone destruction in the left and right cranial fossa bones and in the left jugular foramen. Chest chest normal. Blood: Hemoglobin