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患者男,36岁,干部。因咽痛6天,畏寒、发热、剧烈头痛1天,伴呕吐数次于1986年4月5日入院。发病时曾服用安乃近1.0g,未能奏效。入院前7小时感左侧耳鸣、重听伴左口角歪斜,经门诊静滴青霉素、甘露醇脱水处理后收住院。患者平素身体健康。入院体检:体温36℃,脉搏80次,血压120/80,神志清楚,皮肤粘膜未见瘀点、瘀斑。左侧额纹变浅、眼裂大、鼻唇沟浅、口角下垂。作皱额,皱眉、闭目、露齿、鼓气等动作时,左侧面肌活动度明显减弱,结膜无充血、出血,瞳孔等大等圆约5mm、光反射良好,外耳无分泌物,乳突无压痛,左耳听力较右耳明显减退。颈强,心、肺、腹部无异常。四肢活动好,腱反射正常布,氏征阳性,克氏征弱阳性,巴氏征阴性、奥贲汉氏征阳性。
Male patient, 36 years old, cadre. 6 days due to sore throat, chills, fever, severe headache 1 day, with vomiting several times in April 5, 1986 admission. When taking analgin 1.0g, did not work. 7 hours before admission, left tinnitus sense of left, re-hearing with left skew skew, intravenous infusion of penicillin, mannitol dehydration received hospitalization. Patients usually healthy. Admission medical examination: body temperature 36 ℃, pulse 80 times, blood pressure 120/80, conscious, no petechia petechiae, ecchymosis. Left frontal veins shallow, large ocular fissure, nasolabial fold shallow, mouth drooping. As the amount of wrinkles, frowning, eyes closed, teeth, drumming and other activities, the left facial muscle activity significantly decreased, conjunctival hyperemia, bleeding, pupils and other large round about 5mm, light reflection is good, no secretion of the outer ear, Mastoid tenderness, left ear hearing than the right ear significantly decreased. Neck strong, heart, lung, abdomen without exception. Good limbs, normal tendon reflexes, positive sign, Keshen weakly positive, Pakistan’s negative sign, Austria Ben Han’s sign positive.