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病历摘要男患,22岁.因左耳听力减退1年半于1986年6月9日入院.85年初无何明显诱因出现左耳内闷胀感,听力减退,偶有左侧头痛,无耳道流脓水及发热,未行治疗.终因听力下降逐渐加重而就诊.检查:左外耳道正常,鼓膜充血、增厚,轻度粘连,无穿孔.电测听示:左耳骨导损失20dB,气导损失80dB;声阻抗示:左鼓室曲线 B 型;镫骨肌反射:左同侧、对侧均消失;鼓膜穿刺抽出胶水状液体20ML。初步诊断:左耳渗出性中耳炎。经予激素口服、鼓膜穿刺抽吸,鼓室内注药等治疗听力无改善,行鼓膜切开插管术.2日后硅胶管脱落,切口处有脓性分泌物。拍乳突片示:左鼓窦壁模糊,开口扩大.于1986年7月19日行左中耳探查术,见鼓
Medical summary Male suffering, 22 years old due to left ear hearing loss 1 and a half years in June 9, 1986 admitted to the beginning of 85 no obvious incentive to appear in the left ear boring feeling, hearing loss, occasional left headache, no ear Road pus and fever, not treatment .At the end due to hearing loss gradually increased and treatment. Examination: normal left left external auditory canal, tympanic membrane congestion, thickening, mild adhesions, no perforation .Analysis of hearing shows: the left ear bone loss of 20dB , Air conduction loss of 80dB; acoustic impedance showed: left tympanogram curve B; stapedius muscle reflex: left ipsilateral, contralateral disappeared; tympanic membrane puncture out of the glue-like liquid 20ML. Initial diagnosis: left ear exudative otitis media. After oral administration of hormones, aspiration of tympanic membrane, intratympanic infusion and other treatments did not improve the hearing, tympanotomy incision intubation .2 days after the silicone tube off, incision purulent secretions. Lash tabbing: left sinus wall fuzzy, opening to expand in July 19, 1986 line left middle ear exploration, see the drum