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病例:男,62岁。于20天前出现右耳灼热与疼痛,逐渐加重。发病3天后耳廓出现小疱疹,流黄水,随后出现耳鸣、眩晕、口角歪斜,当地卫生院按“外耳炎、面神经麻痹”分别对症治疗,未显效。来本院门诊就医,以面神经麻痹收住内科。查体:右耳廓红肿,表面有少许黄色渗出液及外敷药。左侧额纹消失,上眼睑下垂,鼻唇沟变浅,口角左斜,尚能完成示齿、鼓气。四肢肌力与肌张力正常。余中枢神经未见异常。初诊:①面神经麻痹;②外
Case: Male, 62 years old. Appeared in the right ear burning and pain 20 days ago, gradually increased. 3 days after the onset of the pinna appear small herpes, yellow water, followed by tinnitus, dizziness, mouth skew, local hospitals according to “otitis media, facial paralysis” were symptomatic treatment, not effective. To our hospital for medical treatment, facial nerve paralysis to receive medicine. Examination: swelling of the right ear, a little yellow surface exudate and topical medicine. Left forehead pattern disappeared, the upper eyelid ptosis, nasolabial fissure shallow, diagonal left oblique, still able to complete show teeth, encouragement. Limb muscle strength and muscle tone normal. No abnormal central nervous system. First visit: ① facial paralysis; ② outside