论文部分内容阅读
患者男,37岁。1991年4月25日以双耳间歇流脓30年伴发热、头痛、项强、呕吐6d 之主诉急收入院。24年前曾行“右乳突根治术”。左耳未治。6月前曾以“脑炎”住内科治疗月余痊愈出院。6d 前发病曾在当地乡医处静滴青、红、氯霉素无效,遂来我院传染科门诊就医,会诊后以左耳源性化脓性脑膜炎之诊断收入我科治疗。查体:体温38.5℃,急性重病容。神清,合作,嗜睡,耳聋,不时呻吟头痛,对话切题。项强,心、肺、腹、神经系统检查,除布、克、巴氏征阳性外余无异常。右耳乳突根治腔清洁。左耳除鼓膜紧张部
Male patient, 37 years old. April 25, 1991 with intermittent ear pus 30 years with fever, headache, Xiang Qiang, vomiting 6d the main complaint admitted to hospital. 24 years ago, line “right mastoidectomy.” Left ear untreated 6 months ago to “encephalitis” live medical treatment more than a month recovered. 6d before the onset of intravenous infusion in the local rural doctors green, red, chloramphenicol invalid, then to our hospital infectious disease clinic for medical treatment, diagnosis of left ear-derived purulent meningitis after treatment of our department. Physical examination: body temperature 38.5 ℃, acute severe disease. God dedication, cooperation, lethargy, deafness, groaning from time to time headache, dialogue cut. Xiangqiang, heart, lung, abdomen, nervous system examination, in addition to cloth, grams, Pakistan’s positive sign no abnormalities. Right ear mastoid radical cavity clean. Left ear in addition to tympanic membrane tension department