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患儿男,1岁,住院号41369。以左耳流清液5天,发热2天伴抽风1次之主诉入院。5天前左耳流出少许清水样液体,2天前开始发热,入院前1小时抽风1次。患儿第1胎足月顺产,无中耳炎和外伤史。查体:体温38℃,嗜睡,瞳孔等大等圆,对光反射存在,左耳流出清水样液体,左侧鼓膜紧张部穿孔。颈稍抵抗,四肢肌张力略高,双膝腱反射正常。病理
Children male, 1 year old, hospital number 41369. To the left ear fluid supernatant 5 days, fever 2 days with the main complaint of admission 1 admission. 5 days ago, a small amount of water left the ear out of a sample of fluid, fever began 2 days ago, admission 1 hour before ventilation 1. Children with first full-term fetus at birth, no history of otitis media and trauma. Physical examination: body temperature 38 ℃, lethargy, pupils and other large circle, the presence of light reflex, the left ear out of water-like liquid, left tympanic membrane perforation Department of tension. Neck a little resistance, limb muscle tension slightly higher, tendon reflex normal. pathology