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我科于1986年曾遇到腮腺部手术后周围性面神经麻痹伴耳颞神经综合征一例。现报道如下: 王某,男,5岁,本县农村人。家长代诉患儿曾于1984年2月因左侧面部发生肿胀,先后就诊于某医学院和本乡卫生院。均诊断为“左侧化脓性腮腺炎。”给予“青、链霉素”药物治疗,约半月后,“肿块”仍未消退,在本乡卫生院行手术治疗。术后即遗留有“口眼歪斜”症状。一月后,家长又发现患儿进食时术区皮肤发红,潮显。医生给予“维生素B_1、B_6、谷维素”等药长长期口服无效。于1956年10月26日来我科就诊。检查:营养发育良好,左侧额纹消失,鼻唇沟变浅,口角微下垂偏向健侧。左侧耳屏前至耳垂下有一长达3cm的切口疤痕。功能状态下面瘫症状更为明显。贝尔氏征阳性。令其咀爵苹果碎块,1
In 1986, our department had encountered a case of peripheral facial paralysis with auricular temporal neurons syndrome after parotid gland surgery. Are reported as follows: Wang, male, 5 years old, the county rural people. Parents complained of children had in February 1984 due to swelling of the left side of the face, has visited a medical school and township hospitals. Were diagnosed as “left suppurative parotitis.” Given “green, streptomycin” drug treatment, about half a month later, the “mass” has not subsided, surgery in the township hospitals. Left after surgery that “Kouyanwaixie” symptoms. One month later, parents also found the skin redness and tide of the operating area when children were eating. Doctors give “vitamin B_1, B_6, oryzanol” and other drug long-term oral invalid. In October 26, 1956 to our department. Check: well-developed nutrition, left forehead pattern disappeared, nasolabial fissure lighter, slightly drooping mouth to the contralateral side. Left anterior tractor to the earlobe there is a cut up to 3cm incision scar. Functional symptoms of paralysis is more obvious below. Bell's sign positive. Make it Apple Juice Pieces, 1