患者女,54岁,因鼻塞、流涕、腮腺肿大50d,听力下降26d于2006年4月6日入院。入院前50d,患者无诱因出现发热,体温最高39℃;鼻塞,流少许黄涕;鼻塞渐加重,出现流脓涕和少许血涕,右侧为著;伴头痛,枕部为主;之后鼻部肿胀,同时出现右侧腮腺肿大、疼痛,在外院予抗生素治疗,无好转。40d Female patient, 54 years old, due to nasal obstruction, runny nose, parotid enlargement 50d, 26d hearing loss on April 6, 2006 admission. 50d before admission, the patient had no incentive to fever, body temperature up to 39 ℃; nasal congestion, flow a little yellow tears; nasal congestion gradually heavier, the emergence of runny nose and a little bloody runny nose, right side; with headache, occipital-based; Department of swelling, while the right parotid swelling, pain, antibiotics in the outer court treatment, no improvement. 40d