论文部分内容阅读
对鼻咽合并中耳结核1例分析如下。1病历摘要女,25岁,幼教老师。2007-10因右耳反复间断流脓伴听力下降2个月来我科就诊。来我院前在当地医院诊断为化脓性中耳炎,予静脉补液广谱抗生素2周及局部外用滴耳液治疗1个月仍无好转。追问病史无咳嗽、咯痰、低热、盗汗、消瘦等全身表现。我院耳窥镜检查:右外耳道见脓性分泌物,鼓膜充血水肿,前下方见鼓膜大穿孔,鼓室内见少量肉芽组织。电测听示右耳混合性耳聋,AC:72dB。颞骨CT示右中耳乳突气房透
An analysis of nasopharyngeal tuberculosis in 1 case as follows. 1 medical record summary Female, 25 years old, preschool teacher. 2007-10 Repeated interruption of the right ear with pus with hearing loss for 2 months to our department. To our hospital at the local hospital diagnosed with suppurative otitis media, intravenous infusion of broad-spectrum antibiotics for 2 weeks and topical ear drops treatment 1 month still no improvement. No historical history of cough, expectoration, fever, night sweats, weight loss and other systemic manifestations. Our hospital ear microscopy: see the right ear canal purulent discharge, tympanic membrane congestion and edema, see the front of the bottom of the tympanic membrane perforation, tympanic cavity see a small amount of granulation tissue. Electrical test showed mixed right deafness, AC: 72dB. Temporal bone CT showed right middle ear milk sudden atrioventricular