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病历摘要患儿,男性,3岁。以双耳持续流脓2～3月之主诉就诊。脓色黄伴臭味,无血迹,无发烧、耳痛及头痛,亦无烦躁及恶心呕吐。全身及局部应用抗生素无效。既往体健,否认传染病史。无药物及其它过敏史。查体:一般情况无异常。双耳廊对称,无牵扯痛,耳后不红肿,乳突区无压痛;双侧外耳道被肉芽充填,为淡红色,质韧,触之不易出血。双侧外耳道后壁塌陷,鼓膜均不能窥及。实验室检查:Hb115g/L,WBC 6.5×10~9/L,N 0.72,
Medical record summary Children, male, 3 years old. To persistent pus 2 to 3 months of the chief complaint. Pus yellow with the smell, no blood, no fever, earache and headache, nor irritability and nausea and vomiting. Systemic and topical antibiotics are not effective. Past health, to deny the history of infectious diseases. No drug and other allergies. Physical examination: the general situation without exception. Binaural gallery symmetry, without involving the pain, the ear is not inflamed, no tenderness in the mastoid area; bilateral external auditory meatus is filled with granulation, pink, quality tough, easy to touch the bleeding. Both sides of the posterior wall of the ear canal collapse, tympanic membrane can not peep. Laboratory tests: Hb115g / L, WBC 6.5 × 10 ~ 9 / L, N 0.72,