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患者男性、15岁、农民。因左耳反复流脓10年,高热、头痛,呕吐,间隙性昏迷3天急诊入院。体查:T39.5℃、P100次/分、R26次/分、血压12/7k_(pa)。患者呈昏迷状,颈强直,双瞳孔大小正常,光反射迟钝。白细胞24×10~3,中性89%。X光片示:左胆脂瘤型中耳乳突炎并乙状窦壁,鼓室盖区有骨质破坏。脑脊液压高,乳白色混浊,潘氏试验(++),白血球8.6×10~9/L。
Male patient, 15 years old, farmer. Repeated suppurative left ear for 10 years, fever, headache, vomiting, intermittent coma 3 days emergency admission. Physical examination: T39.5 ℃, P100 beats / min, R26 beats / min, blood pressure 12 / 7k_ (pa). Patients were coma, neck stiffness, double pupil size, light reflex slow. White blood cells 24 × 10 ~ 3, 89% neutral. X-ray showed: left cholesteatoma middle ear otitis media and sigmoid sinus wall, tympanic area with bone destruction. Cerebrospinal fluid pressure, milky opacity, Pan test (++), white blood cells 8.6 × 10 ~ 9 / L.