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患者,男,33岁。因左耳异物25年,疼痛3d 来诊。25年前患者误将旧式塑料钢笔帽上铜圈塞入左外耳道,当时稍有胀感,因怕家长训斥,未对任何人讲,以后症状消失,25年无任何不适。3d 前因左耳内发痒用盯聍匙挖耳后出现疼痛,并逐渐加重而就诊。检查见双外耳道口直径约1.0cm,宽大平直,右耳鼓膜正常,左侧外耳道皮肤稍红肿,有少许渗出,在外耳道中外1/3处有一黄绿色金属圈嵌于外耳道。诊断:左外耳道金属异物伴外耳道炎,于局麻下取出黄绿色铜圈一枚,外直径1.0cm,高0.2cm。经口服消炎药
Patient, male, 33 years old. 25 years due to the left ear foreign body, pain 3d to clinic. Twenty-five years ago, the patient mistakenly inserted a copper ring on the old plastic pen cap into the left external auditory meatus. At that time, there was a slight swelling. Because of fear of parents reprimanding and not speaking to anyone, symptoms disappeared after 25 years without any discomfort. The cause of itching in the left ear was stained with a stare key after 3d, and the pain gradually increased. Check the double external auditory canal mouth diameter of about 1.0cm, wide and flat, right eardrum normal, the left external auditory meatus skin a little swollen, a little exudation in the external auditory meatal middle and 1/3 at a yellow-green metal ring embedded in the external auditory canal. Diagnosis: The left external auditory canal foreign body with ear canal inflammation, removed under the local anesthesia a yellow-green copper ring, the outer diameter of 1.0cm, height 0.2cm. After oral anti-inflammatory drugs