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患者,女,50岁,干部。半月前患感冒,当时咽痛、流涕,无发热,经治疗7天愈。之后出现左耳屏部痛,很快波及至左额部,呈针刺样,闪电样痛,每日发作几十次,间歇期一切正常。4天前左额部及左眼上缘出现疱疹,后渐多融合成片而入院。体温36.4℃,脉搏72次/分,血压12/10kPa。神清,左眼睑水肿,眼裂小,左额部及左顶前部可见大片状疱疹,融合成片,左侧面部痛觉减退,余颅神经正常。心肺正常。四肢肌力、肌张力正常,病理征(-)。脑电图正常,脑CT片正常,脑脊液正常。入院后皮肤科会诊,诊断为:单纯性疱疹。故拟诊为疱疹性三叉神经痛。入院第六天出现左侧咽部痛疼,呈针刺样、闪电样痛,吞咽
Patient, female, 50 years old, cadre. A half months ago, a cold, sore throat, runny nose, no fever, the more treatment 7 days. After the left ear pain appeared, quickly spread to the left forehead, acupuncture-like, lightning-like pain, dozens of times a day attack, intermittent normal. 4 days ago left frontal and left eye herpes appeared on the edge, gradually more integrated into films and admission. Body temperature 36.4 ℃, pulse 72 beats / min, blood pressure 12 / 10kPa. Shen Qing, left eyelid edema, small eyelid, left frontal and left top of the visible large shingles, fusion into tablets, left facial pain decreased, more than normal cranial nerves. Cardiopulmonary normal. Limb muscle strength, muscle tone normal, pathological sign (-). EEG normal brain CT normal, normal cerebrospinal fluid. Dermatology consultation after admission, diagnosed as: herpes simplex. Therefore, the diagnosis of herpes trigeminal neuralgia. On the sixth day of admission, left throat pain appeared, acupuncture-like, lightning-like pain, swallowing