论文部分内容阅读
患者,女,36岁.于1996年9月14日因幻听,将扫帚上竹签折断后塞入双耳中,当即双耳出血不止,听力减退,视物旋转,恶心呕吐.发病后两天,出现右眼闭不拢,口角歪斜.五日后,双耳流脓,量多粘稠,有臭味.既往患精神分裂症十年余,否认有化脓性中耳炎史.专科检查:双侧外耳道大量脓液,粘稠,呈黄绿色.吸净脓液后从右外耳道内取出长1cm直径为0.2cm竹签7根,左外耳道内取出相同竹签4根.左外耳道无明显破溃,鼓膜紧张部大穿孔,鼓室有脓液,左中耳腔粘膜完整.右侧外环道后壁皮肤破损,右侧中耳腔内取出长约0.5cm,直径0.2cm竹签3根及一端插入中耳腔内而另一端留于外耳道的竹签2根,长约0.7cm,
Patients, female, 36 years old .In September 14, 1996 due to auditory hallucinations, the bamboo stick on the broom on the broken off into both ears, immediately bleeding more than the ears, hearing loss, depending on the material rotation, nausea and vomiting .After the onset of two Days, the right eye closed, skewed mouth. Five days later, the ear pus, the amount of more viscous, smelly Past schizophrenia more than ten years, denied the history of purulent otitis media Specialist examination: bilateral A large number of external auditory canal pus, viscous, yellow-green. Psoriasis pus removed from the right external auditory canal long 1cm diameter 0.2cm bamboo shoots 7, the left external auditory canal remove the same bamboo stick 4. Left external auditory canal without ulceration, Tympanic membrane tension large perforation, tympanic pus, left middle ear mucosa intact right outer ring road wall skin damage, remove the right middle ear cavity about 0.5cm, 0.2cm diameter bamboo sticks and one end inserted The middle ear cavity and the other end left in the external auditory canal bamboo 2, about 0.7cm,