论文部分内容阅读
患者,男,54岁于1986年12月15日入院。一周前无明显诱因,左面部疼痛,逐渐传到左耳廓,疼痛剧烈向头顶部放散。左耳廓有数个疱疹伴恶心呕吐、视物旋转、耳鸣、一天后左耳流出少量黄水,听力下降,左面部麻木感,面部活动失灵,同侧上下肢无力,右侧卧,行走不便。检查:心肺腹部均为阴性。左耳道可见附着数个黄色干痂,患侧额纹消失,左眼闭合力较右侧弱,鼻唇沟变浅,口角偏向健侧,鼓腮困难。舌前3/2味觉消失,见有水平眼震,患侧少泪,听力明显下降,步态不稳,昂白氏验试阳性,轮替试验正常,指鼻试验阴性,左握力较右侧明显减
The patient, male, 54 years old, was admitted on December 15, 1986. No obvious incentive a week ago, the left facial pain, gradually spread to the left auricle, the pain drained to the top of the head. The left auricle with several herpes with nausea and vomiting, depending on the material rotation, tinnitus, a day after the left ear out of a small amount of yellow water, hearing loss, left facial numbness, facial activity failure, ipsilateral upper and lower limb weakness, right lateral lying, walking inconvenience. Check: cardiopulmonary abdominal were negative. Left ear canal visible attached to the number of yellow dry scab, ipsilateral forehead pattern disappeared, the left eye closure force is weaker than the right, nasolabial fissure lighter, mouth angle side to the contralateral, drum gills difficult. Tongue 3/2 taste disappeared, see the level of nystagmus, ipsilateral less tears, hearing decreased significantly, gait instability, Ang Bang test positive, rotation test is normal, finger nasal test negative, left grip force than the right Significantly reduced