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患者,男,75岁,因耳堵、听力下降3 d,于2010年12月7日来我院就诊。检查双耳鼓室积液。患者双耳下饱满,鼻部检查鼻黏膜慢性充血,双下鼻甲稍大,鼻道通畅,咽隐窝光滑。诊断分泌性中耳炎。给予鼓膜穿刺治疗,同时给予口服抗生素、小剂量强的松、呋嘛合剂点鼻等综合治疗。2周后再次耳堵、听力下降,检查双耳鼓室积液,双耳下肿胀明显。仍给予上述治疗。1个月后又出现同样的耳部症状,但同时双侧耳下腮腺区肿胀非常明显,
Patients, male, 75 years old, due to ear plug, hearing loss 3 d, on December 7, 2010 came to our hospital. Check the binaural tympanic fluid. Patients under the ears full, nasal nasal mucosa chronic congestion, slightly larger double turbinate, nasal smooth, pharyngeal crypts smooth. Diagnosis of secretory otitis media. Give tympanic membrane puncture treatment, while giving oral antibiotics, small doses of prednisone, furosemide mixture point nose and other comprehensive treatment. Ear plug again after 2 weeks, hearing loss, check the ear drum effusion, swelling significantly under both ears. Still give the above treatment. 1 month later appeared the same ear symptoms, but at the same time bilateral ear parotid gland swelling is very obvious,