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患者男性,67岁。以发热4天,右侧口眼歪斜1天为主诉收入院。患者4天前受凉后发热,体温38℃左右,伴头痛。自服头孢氨苄、维c银翘片,热未退,于第5日晨起,发现右侧口眼歪斜,右眼闭合不全.进食时右侧口角漏食。无一侧肢体麻木,无意识障碍.入院查体:体温37.6℃,脉搏84次/分,呼吸21次/分,血压14/10kPa.神志清,眼裂左10mm,右12mm.鼻唇沟右侧浅,口角向左歪斜,右侧不能皱额,右眼闭合不全,右侧鼓腮障碍,示齿下颌向左歪斜。余系统检查未见阳性体征.辅助检查:血常规,WBC15.6×10~9/L,N0.78,L0.22.大小便常规及肝肾功检查均正常。入院诊断:面神经炎。
Patient male, 67 years old. To 4 days fever, right eye mouth skewed 1 day mainly sued hospital. Patient 4 days ago after the cold fever, body temperature 38 ℃, with headache. Since the service of cephalexin, Victoria c Yinqiao tablets, heat did not retreat, on the 5th morning and found that the right side of the mouth askew, right eye closed incomplete. No side numbness, unconsciousness. Admission examination: body temperature 37.6 ℃, pulse 84 beats / min, breathing 21 beats / min, blood pressure 14 / 10kPa. Sense of clear eyes cracked left 10mm, right 12mm. Shallow, diagonal skew to the left, the right can not be wrinkled, right eye closure insufficiency, right drum gully barrier, showing the mandibular left skewed. No systematic examination of positive signs.Auxiliary examination: blood, WBC15.6 × 10 ~ 9 / L, N0.78, L0.22. Toilet and liver and kidney routine examination were normal. Admission diagnosis: facial neuritis.