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1 临床资料 患者,男,32岁,歼击机飞行员,因右耳廓剧痛,皮肤表面有数个米粒状疱疹,右侧头部持续性跳痛,诊断为右耳廓带状疱疹。入院后给予地塞米松5mg肌注,杞菊地黄口服液10ml口服,维生素B_120mg口服治疗后,右耳廓红肿、痛减轻,第九天出现头晕、走路步态不稳、右眼闭合障碍、嘴向左侧歪斜等面瘫症状,冷热水试验示右耳前庭功能丧失,左耳前庭功能减退,诊断为病毒性前庭神经炎。除继续原治疗外,又增加针炙及理疗,右耳廓红肿及疱疹消失,面瘫症状明显减轻。
1 Clinical data Patients, male, 32 years old, fighter pilots, due to severe pain in the right auricle, the skin surface has several meters of herpes zoster, right head persistent tenderness, diagnosis of right auricle shingles. After admission, dexamethasone 5mg intramuscular injection, Qi Ju Di Huang oral solution 10ml oral, vitamin B_120mg oral treatment, the right ear swelling, pain relief, the first nine days of dizziness, walking gait instability, right eye closure disorder, mouth to the Left side skew and other facial paralysis symptoms, cold water test showed loss of right ear vestibular function, left ear vestibular dysfunction, the diagnosis of viral vestibular neuritis. In addition to continue the original treatment, but also increase acupuncture and physical therapy, right ear swelling and herpes disappear, visceral paralysis symptoms significantly reduced.