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1.病例介绍 患者男,39岁。12年前因胆脂瘤型中耳炎在外院行右侧乳突根治术,但术后仍经常流脓,1年后出现面瘫。2天前出现头痛、头晕、恶心、发热,在当地卫生院静滴庆大霉素等治疗无效而收住院。2.体检 T38.2C,P100次/min,R26次/min,BP13/9kpa。急性病容,精神萎缩,烦躁不安。颈强直,右侧眉毛上抬差,右眼睑不能闭合,右鼻唇沟消失,口角歪向左侧。上腹部压痛明显。克氏征、布氏征(+)。耳部检查:右耳前
1. Case description Patient male, 39 years old. 12 years ago due to cholesteatoma otitis media in the right lateral mastoidectomy, but still often postoperative pus, facial paralysis after 1 year. 2 days ago, headache, dizziness, nausea, fever, intravenous infusion of gentamicin in the local hospitals ineffective and admitted to hospital. 2. Physical examination T38.2C, P100 times / min, R26 times / min, BP13 / 9kpa. Acute illness, atrophy, irritability. Neck stiffness, right eyebrows poor elevation, right eyelid can not be closed, the right nasolabial fold disappears, mouth crooked to the left. Upper abdominal tenderness significantly. Kirschner Sign, Brinell sign (+). Ear examination: right ear