论文部分内容阅读
耳源性破伤风少见,耳源性破伤风误诊为耳源性颅内并发症未见报道。我科收治1例。 男性,9岁,住院号12691。现病史:右耳肿胀疼痛二十余天,住院前十余天曾在当地医院作耳内切开放脓,并以草药放入切口。住院前3天因发热、张口受限,他院诊断为耳源性颅内并发症收入院,准备行乳突手术,但因家属不愿手术治疗而未作。后来我院检查,诊断为耳源性破伤风收院治疗。体检:健康,神志清楚,呈痛苦或苦笑表情,营养尚佳,发育中等,体温37.2℃,颈项轻度强直。心肺(一),腹部触诊时痉挛,两下肢肌肉呈阵发性抽搐,神经系统未引出病理征。
Ear-derived tetanus is rare, misdiagnosis of otogenic tetanus for otogenic intracranial complications have not been reported. I received 1 cases of subjects. Male, 9 years old, hospital number 12691. Current medical history: Right ear swelling and pain more than twenty days, more than ten days before hospitalization in the local hospital for ear incision pus, and herbs into the incision. 3 days before hospitalization due to fever, restricted mouth, his hospital diagnosed as ear source of intracranial complications income hospital, ready for mastoidectomy, but because families are reluctant to surgery. Later, our hospital examination, diagnosis of ototoxicity tetanus hospitalization. Physical examination: healthy, conscious, showing a painful or wry expression, nutrition is still good, medium development, body temperature 37.2 ℃, mild neck stiffness. Heart and lung (a), spasm when palpation of the abdomen, paroxysmal convulsions of both lower extremity muscles, the nervous system did not lead to pathological signs.