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患者男,42岁,因发热伴右耳痛、耳鸣、鼻孔痛6天,右侧面瘫1天,门诊以“面神经炎”于1981年9月30日收入院。查本:右额皮肤皱纹消失,眼裂扩大,闭合不全,流泪反射消失,右鼻唇沟平坦,口角向左侧歪斜,不能皱额、鼓腮,口水自右侧下淌,舌前1/3味觉减退。白细胞10400/立方毫米,中性81％,淋巴19％,入院第二天,患者感右乳突区疼痛,剧烈恶心、眩晕,呕吐胃内容物5次,无眼球震颤;第三天右耳廓红肿触痛,外耳道及耳廓出现成簇的暗红色小丘疹及透明小水疱,右侧悬雍垂和扁挑体区亦有数个红色丘疹及小疱疹,耳后淋巴结如蚕豆大小、压痛,乳突区明显压痛,鼓膜无特殊,右听力减退,前庭功能试验及闭目直立试验:向右侧倾斜。
Male, 42 years old, suffering from fever and right ear pain, tinnitus, nostril pain for 6 days, right side paralysis 1 day, outpatient “facial neuritis” in September 30, 1981 income hospital. Check the right amount of skin wrinkles disappear, the expansion of the eye crack, incomplete closure, disappearance of reflex tears, right nasolabial fold flat, skewed to the left corner of the mouth, not wrinkles, gills, saliva from the right side of the drip, tongue 1 / 3 taste diminished. White blood cells 10400 / cubic millimeter, neutral 81%, lymphatic 19%, the day after admission, patients with right mastoid pain, severe nausea, dizziness, vomiting stomach contents 5 times, no nystagmus; the third day right ear Inflamed tenderness, external auditory meatus and ears appear clusters of dark red papules and transparent small blisters, right uvula and flat pick of body area also has several red papules and small herpes, ear, such as the size of beans, tenderness, milk Distinct tender tenderness, tympanic membrane without exception, right hearing loss, vestibular function test and closed head upright test: tilt to the right.