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我院自1986年以来共遇经临床和手术诊断证实为耳源性颅内并发症26例,均行扩大中耳乳突根治疗,清除病灶和周围脓肿开放引流,26例均治愈,治愈率100%.1 临床资料26例中乙状窦周围脓肿14例,硬膜外脓肿4例,脑膜炎并发脑脓肿2例,脑脊液漏2例,硬膜外脓肿并发脑膜炎4例.其中19例为单发并发症,7例为两种以上并发症.年龄最小8岁,最大30岁.临床症状和体征:26例全部有耳痛和头痛,21例体温升高,5例烦躁不安,巴氏征(+)4例,克氏征(+)4例,视乳头水肿10例,颈部强直10例.
In our hospital since 1986, a total of 26 cases of otogenic intracranial complications confirmed by clinical and surgical diagnosis were treated with enlarged middle ear mastoidectomy. The lesion and perianal abscess were removed and opened, and 26 cases were cured. The cure rate 100% .1 Clinical data of 26 cases of sigmoid sinus abscess in 14 cases, 4 cases of epidural abscess, meningitis complicated with brain abscess in 2 cases, cerebrospinal fluid leakage in 2 cases, epidural abscess associated with meningitis in 4. Among them, 19 cases 7 cases were more than two complications, the youngest 8 years old, maximum 30. Clinical symptoms and signs: all 26 cases of earache and headache, 21 cases of body temperature, 5 cases of restlessness, Pakistan There were 4 cases of Syndrome (+), 4 cases of Syndrome (+), 10 cases of papilledema and 10 cases of neck stiffness.