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患者女,38岁。左耳流水样液伴耳闷5d。患者5d前,因左上颌磨牙痛,采用民间“单方”治疗,将新鲜小蓟洗净捣烂,榨取汁液滴左耳。第1次滴入数滴无不良反应,约10min后,第2次又滴入数滴,此次滴耳后即感左耳内痛,头胀满感,且有咽部刺痛,随即倒出耳内残余药液,咽部刺痛片刻好转,耳痛持续不减,同时感左耳听力下降,且有粘性液体流出,即到附近诊所求治,口服消炎止痛药5次,至次日中午,左耳痛渐止,但耳流液不断,伴左耳内痒感和耳鸣。检查示右侧外耳道及鼓膜未见异常,左侧外耳道深部后下壁及鼓膜略显充血,鼓膜水肿,后下象限边缘性大穿孔,中耳腔潮湿,有液体反光,乳突无压痛。听力检
Female patient, 38 years old. Left ear fluid sample with ear bored 5d. Patients 5d ago, due to the left maxillary molar pain, the use of folk “unilateral ” treatment, the fresh thistle washed smashed squeezed juice droplets left ear. The first few drops of drops of no adverse reactions, about 10min, the second drops a few drops, the ear drops that immediately after the pain in the left ear, head fullness, and pharyngeal stinging, then fell Out of the residual solution of the ear, pharyngeal sting improved for a while, earache continued unabated, while the left ear hearing loss, and viscous liquid outflow, that is, to the nearby clinic for treatment, oral anti-inflammatory painkillers 5 times, to noon the next day , Left ear pain gradually stop, but the ear fluid constantly, with left ear itching and tinnitus. Examination showed that the right external auditory canal and tympanic membrane showed no abnormalities. The left external auditory canal deep posterior wall and tympanic membrane slightly hyperemia, eardrum edema, posterior inferior quadrant marginal perforation, middle ear cavity damp, liquid reflex, papillae no tenderness. Listening test