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1病例报告患者,男,46岁,因“左耳突发性听力下降伴眩晕3d”于2016年6月2日入我科治疗。患者发病初期出现左耳听力极重度下降,伴眩晕、左耳鸣,发病后第4天患者出现左眼视物模糊,2d后迅速出现左眼视野由外向中心进行性缩小、视力进行性下降。患者否认既往外伤史、耳毒性药物应用史及耳聋家族史,否认同性恋史及吸毒史。体检:全身皮肤多处红色斑疹,四肢运动共济、感觉检查均正常,颈软,脑膜刺激征(-)。左眼直、间接对光反射迟
A case report of patients, male, 46 years old, due to “left ear sudden hearing loss with dizziness 3d ” on June 2, 2016 into our treatment. Patients with early onset of left ear hearing decreased very severely, with dizziness, left tinnitus, the first 4 days after onset of patients with left eye blurred vision, rapidly after 2d appeared left eye visual field from the outward to the center of progressive decline in visual acuity. Patients deny previous trauma history, ototoxic drug application history and deafness family history, denied homosexual history and history of drug abuse. Physical examination: multiple skin redness of the skin rash, sports limbs limbures, sensory tests were normal, neck soft, meningeal irritation (-). Left eye straight, indirect light reflex late