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患者,男,29岁。以双耳廓交替性肿胀3年于1989年11月入院。诉3年前偶然发现右耳廓上部肿胀,质硬,发展缓慢,偶尔皮肤破裂,流出白色奶状物后肿脓消退,数分钟后奶状物变硬,呈石灰质样。如此反复发生。1年后,左耳廓上部也出现同样变化。3年来,右耳廓破裂流液5次,左耳廓2次。检查:右耳廓上部有3×2.5×2 cm大小肿物,质地硬,耳廓活动度差,无触痛,皮肤表面有5～6个小米粒大小破口,挤压时均有奶液样物质流出。耳轮上部、耳舟和三角窝均被肿物占据。左耳廓上部也有0.5×0.5×0.3cm性质相同之肿物。血钙2.15mmol/L,血磷1.61mmol/L,流出物细菌培
Patient, male, 29 years old. In order to double the ear swelling of 3 years in November 1989 admitted to hospital. 3 years ago, v. 3 years ago accidentally found that the upper part of the right auricle swelling, hard, slow development, and occasionally skin rupture, white milk outflow pus subsided, a few minutes after the milk hardens, was lime-like. So happen again. One year later, the same changes occurred in the upper part of the left auricle. 3 years, the right auricle ruptured fluid 5 times, left auricle 2 times. Check: the upper part of the right auricle with 3 × 2.5 × 2 cm size of the tumor, texture hard, auricle activity is poor, no tenderness, the skin surface 5 to 6 small grain size break, when squeezed milk Like substance flows out. The upper part of the ear, ear boat and triangular socket are occupied by the tumor. There are also 0.5 × 0.5 × 0.3cm above the left auricle of the same nature of the tumor. Blood calcium 2.15mmol / L, phosphorus 1.61mmol / L, bacterial culture effluent