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刘某,女性,39岁,1978年5月9日就诊。于5月5日感觉右侧面部麻木,随之出现右头面部及右耳垂后方及右眼眶痛,右眼睑不能闭,眼睛刺痛,流泪;两天后只有光感,视物不清。口向左偏歪,嗽口时右口角漏水已5天。发病前10天,曾因右下第五龋齿龈肿痛,拔除该患齿后创口渗脓液,经治疗数天而愈,过去身体健康。检查:体温37℃,血压104/68毫米汞柱,右鼻唇沟变浅,口角左歪,张口下颌不歪,吹口哨时右口角闭不拢,伸舌无偏歪,不能皱右额,右颌骨及右耳垂后方压痛,颞肌、咬肌无萎缩,其余颅神经未发现异常。四肢肌力均五级,未引出病理反射,躯体及四肢深浅感觉正常。闭右眼时睑距宽达1.5厘米,结膜充血,眼球各向运动正
Liu, female, 39 years old, May 9, 1978 visit. On May 5, feeling the right side of the face numbness, followed by right facial and right ear lobes and right orbital pain, right eyelid can not be closed, eyes tingling, tearing; only light perception after two days, depending on the material is not clear. I left skewed mouth, mouth mouth when mouth leakage has been 5 days. 10 days before the onset, once the lower right fifth caries gingivalgia pain, removal of the wound after the wound seepage pus, after a few days and more treatment, the past good health. Check: body temperature 37 ℃, blood pressure 104/68 mm Hg, the right nasolabial fissure shallow, mouth left crooked mouth is not crooked jaws, whistling right mouth angle closed, extension of the tongue without bias, can not wrinkle the right forehead, Right mandible and right ear lobe tenderness, temporal muscles, masseter muscle no atrophy, and the remaining cranial nerves were not found abnormalities. Limb muscle strength are five, did not lead to pathological reflexes, body and limbs feel normal depth. Close right eye when the eyelid wide 1.5 cm, conjunctival hyperemia, eye movement is positive and negative