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病案报告例一,男,30岁,病历号127320。主因右耳间歇性流脓,听力减退约18年,于1982年3月2日入院。体检:全身系统检查均无异常发现。耳鼻咽喉科检查:鼓膜松弛部后上大穿孔,鼓膜紧张部内陷、不活动,骨性外耳道后上壁破坏,其内含有白色豆渣样物。乳突X线许氏位片,见右侧乳突蜂房消失,鼓窦区显示不规则之密度减低区,乙状窦边缘尚锐利,鼓室盖无骨破坏。听力测验:音叉试验骨导>气导,书伯试验偏向右耳;电测听检查:右耳气导损失50db,骨导损失20db。最后诊断:右侧胆脂
Case report of a case, male, 30 years old, medical record number 127320. Mainly due to intermittent intermittent pus right ear, hearing loss of about 18 years, on March 2, 1982 admission. Physical examination: No abnormal body system examination found. Otorhinolaryngology examination: After tympanic membrane relaxation on the large perforation, tympanic membrane tension invagination, inactivity, destruction of the upper wall of the bony external auditory canal, which contains white bean dregs samples. X-ray mammography Xu tablets, see the right mastoid disappear hocks, sinus area showed irregular density reduction zone, sigmoid sinus margin is still sharp, tympanic cover without bone destruction. Hearing test: tuning fork test bone conduction> air conduction, book test bias to the right ear; electric audiometry examination: right ear loss of air conduction 50db, loss of bone conduction 20db. The final diagnosis: the right cholecystitis