论文部分内容阅读
1病例报告患者男,70岁。因双耳反复流脓1周就诊。1周前因双耳瘙痒,用牙签掏挖后流黄色脓液,伴双耳闷胀感和听力下降。自行服用阿莫灵胶囊未见好转。查体:过氧化氢冲洗外耳道后见鼓膜穿孔,残留鼓膜充血且有脓性分泌物附着。询问病史,20余年前因爆破致双耳鼓膜穿孔,其后中耳炎发作,流脓1次,采用抗感染治疗后一直保持干耳;罹患糖尿病10余年。诊断为化脓性中耳炎,给予左氧氟沙星0.4g静脉滴注,每天1次;3%
1 case report patient male, 70 years old. Due to repeated ear pus 1 week treatment. 1 week ago due to binaural itching, digging with a toothpick after digging yellow pus, with binaural feeling and hearing loss. Amoxicillin capsules taken on their own did not improve. Examination: Hydrogen peroxide flushing the external auditory canal after see tympanic membrane perforation, residual tympanic membrane congestion and purulent secretions attached. Ask history, more than 20 years ago due to blasting caused by ear drum tympanic membrane perforation, followed by otitis media attack, pus 1 times, the use of anti-infective treatment has been to keep dry ear; suffering from diabetes for more than 10 years. Diagnosis of suppurative otitis media, given levofloxacin 0.4g intravenous infusion, 1 day; 3%