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患者,女,50岁,1981年4月27日以“左耳胆脂瘤型中耳炎”入院。7岁时左耳开始流脓,起初黄色稀薄,以后渐变为脓性粘液、味臭,量多。听力逐渐减退。至13岁流脓停止。29岁(1960年)患“伤寒”病后,右耳亦有流脓。1964年曾在外院行左耳鼓室成形术。术后病情反复,时有流脓。近6年来左耳流脓明显减少,但出现阵发性眩晕、恶心、呕吐。左耳内痛伴发左侧头痛,近半年加重。查左外耳道被表面不平整组织堵塞,前上方为肉芽组织,触之易出血。x线照片:左侧内听道骨质结构无变化。1981年5月7
Patients, female, 50 years old, April 27, 1981 to “left ear cholesteatoma otitis media” admission. 7-year-old left ear began to pus, initially thin yellow, later purulent mucus, odor, more. Listening gradually diminished. Pus stop until age 13. 29 years old (1960) suffering from “typhoid” disease, the right ear also has pus. In 1964 outside the hospital tympanoplasty left ear. Repeated postoperative illness, when pus. In the past 6 years, left ear pus decreased significantly, but with paroxysmal vertigo, nausea and vomiting. Left ear pain with left headache, increased nearly six months. Check the left external auditory canal surface is not flat tissue blockage, the top of the granulation tissue, touch the easy bleeding. x-ray photograph: No change in left internal auditory canal bone structure. May 1981 7