论文部分内容阅读
作者等对10例老年亚急性和慢性中耳-乳突炎作了如下分析:男性8例,女性2例;年龄在72～80岁的5例,80以上5例,最大年龄为92岁。呈典型的慢性胆脂瘤性中耳炎者3例,分别为72、72、82岁,女1,男2,其中1例属医源性术后面瘫。脑膜炎合并左侧偏瘫和阵发性抽搐1例,是女性72岁,经内科治疗后临床痊愈,但白细胞始终高达15000,因而疑有脑脓肿。实际上有隐匿的慢性中耳炎被应用大量抗生素掩盖了症状。手术时仅见粘膜增厚,术后细胞很快恢复正常。另6例则全然不同,都是男性,年事较高,为77～92岁。3例归咎于耵聍栓塞取出困难引起。然此6例都有过外伤后流脓史,都是绿脓杆菌感染、起病时间相对地较短、以耳漏为主要症状的
The authors of the 10 cases of senile subacute and chronic otitis media were analyzed as follows: 8 males and 2 females; aged 72 to 80 years in 5 cases, 80 and 5 cases, the maximum age of 92 years. The typical chronic cholesteatoma otitis media in 3 cases, respectively, 72,72,82 years old, female 1, male 2, of which 1 case of iatrogenic facial paralysis. Meningitis with left hemiplegia and paroxysmal convulsions in 1 case, female 72 years old, clinically recovered after medical treatment, but the white blood cells is always up to 15000, so suspected brain abscess. In fact there are occult chronic otitis media is covered with a large number of antibiotics to mask the symptoms. Only see mucosal thickening surgery, postoperative cells quickly returned to normal. The other 6 cases are completely different, are men, higher age, 77 to 92 years old. Three cases were attributed to 耵 聍 embolism caused by difficulty removing. However, 6 cases had traumatic empyema history, are Pseudomonas aeruginosa infection, the onset time is relatively short, with the main symptoms of otorrhea