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患者女,46岁,左耳反复流脓6年,伴枕颞部瘘管4年,于85年元月18日入院,患者于6年前左耳反复流脓,近四年左枕颞部出一瘘管反复流脓不止,但耳内流脓减少,每当受凉时耳内流脓量增加,伴头疼、头昏、视物旋转、恶心、呕吐,曾在当地卫生院给消炎,口服安定等药未见上述症状减轻,近一月耳流脓加剧来我院求治。体检:全身检查无特殊,左耳外耳道狭窄,鼓膜大穿孔,中耳腔稍潮湿,耳后乳突部红肿,枕颞部有一黄豆大小的瘘管,有淡黄色脓液恶臭味、瘘管周围红肿。乳突 X 线片提示:左耳乳突硬化型,头颅正倒位片提示:枕颞骨骨髓炎。一九八五年元月二十五日在局麻加强化下行乳突恨治术,术中发现鼓窦入口有
Female patient, 46 years old, left ear repeatedly purulent for 6 years, with occipital fistula for 4 years, was hospitalized on January 18, 1985, the patient left ear repeated pus six years ago, nearly four years left temporal occipital A fistula repeated pus more, but less purulent ear, whenever the ear when the amount of fluid in the ear increased, with headache, dizziness, depending on the material rotation, nausea, vomiting, had in the local hospitals to anti-inflammatory, oral stability No symptoms of the drug to alleviate the last month, ear abscess to our hospital for treatment. Physical examination: no specific systemic examination, left ear, external auditory canal narrow, large perforation of the tympanic membrane, the middle ear cavity a little wet, ear mastoid swelling, occipital temporal fistula with a soybeans, pale yellow pus foul odor, fistula around the swelling . Mastoid X-ray tips: left ear mastoid sclerosis, skull is inverted Tip: Patellar temporal osteomyelitis. On January 25, 1985, at the local anesthesia intensified descending papillary haemorrhoidectomy, we found that there was