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患者系一位65岁马来妇女,在一家地区医院就诊。在此之前7天,有一小虫钻进她的右耳,并感右耳疼痛逐渐加重伴右侧面部无力。患者既往无任何耳、鼻、咽喉疾病或系统性疾病。入院后经检查确诊为:右侧完全分离性下运动神经元性面瘫。检查右耳见一血疱占居大半鼓膜表面,双侧听力试验呈中度老年性耳聋。根据已往经验,作者用4％利多卡因冲洗右
The patient is a 65-year-old Malay woman who is seen at a district hospital. Prior to this 7 days, a bug drilled into her right ear, and feel the right ear pain gradually aggravated with the right side of the face weakness. The patient never had any otorhinolaryngological or systemic diseases. After admission, the diagnosis was confirmed by examination: right facial paralysis of motor neurons under complete detachment. Check the right ear to see a blood blister occupy the majority of tympanic membrane surface, bilateral hearing test was moderate senile deafness. Based on past experience, the author rinsed right with 4% lidocaine