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患者,男,76岁。因慢阻肺感染月余,左颜面、耳廓疱疹7天为主诉于1992年4月29日入院。7天前左颜面部、耳廓出现数个疱疹呈成簇排列,伴有针刺样疼痛向头皮部放射,5天后疼痛加剧,呈烧灼样疼痛,疱疹溃破,外耳道流脓、嘴歪,不能闭眼,皱眉、额纹消失。左耳听力、左视力减退。查体:左颜面及口唇沿三叉神经走向、左耳廓、外耳道有十数个成簇排列疽疹、溃破,有少许分泌物。左额纹消失,鼻唇沟变浅,口角向右侧歪斜,睑裂增宽,外耳道有脓性分泌物,左视力下降。
Patient, male, 76 years old. Due to chronic obstructive pulmonary infection in more than a month, left face, pinna herpes seven days as the main complaint in April 29, 1992 admission. 7 days ago left facial, a few herpes appear in the pinna were arranged in clusters, accompanied by acupuncture-like pain radiating to the scalp, 5 days after the pain intensified, was burning pain, herpes ulceration, ear canal pus, crooked mouth, Can not close your eyes, frown, forehead pattern disappears. Left ear hearing, left vision loss. Physical examination: Left facial and lip along the trigeminal nerve toward the left auricle, external auditory meatus have arranged in dozens of clusters of ulcer rupture, a little secretions. Left forehead pattern disappeared, shallow nasolabial fold, mouth to the right skew, palpebral fissure widened, purulent secretions of the external auditory meatus, left vision decreased.