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1 临床资料 患者,女,31岁。因右面瘫,听力丧失15年,右外耳道肿物反复出血10年,于1987年4月2日入院。检查:右周围性面瘫,右耳听力完全丧失,右三叉神经功能障碍,右咽反射消失,右侧小脑性共济失调。右上颈部触及猫喘感,该处及右乳突部可闻及吹风样血管杂音。右外耳道被暗红色搏动性蚓团状肿物填塞。X线示右外耳道壁、岩锥及颈静脉孔区骨质广泛破坏。CT:右岩骨后缘不规则高密度影,四脑室左移。CAG:右外耳道后闭块状血管染色。入院后局麻下暴露右颈外动脉,穿刺后注入每
1 clinical data patients, female, 31 years old. Because of right paralysis, hearing loss for 15 years, the right ear canal mass recurrence of bleeding for 10 years, on April 2, 1987 admission. Check: Right peripheral facial paralysis, right ear hearing loss, right trigeminal nerve dysfunction, right pharyngeal reflex, right cerebellar ataxia. The upper right neck touches the cat’s wheeze, where the right mastoid can smell and hair-like vascular murmur. The right external auditory meatus was dull red pulsed granular tumor stuffing. X ray showed the right external auditory canal wall, rock cone and jugular foramen widely degenerated bone. CT: irregular high density of the right trabecular edge, left ventricle four. CAG: Posterior external auditory canal occlusion massive blood vessel staining. After admission under local anesthesia exposed right external carotid artery, puncture after injection