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患者李某,女,30岁,农民。因左耳间歇性流脓、耳聋10余年,耳后肿胀、头痛1个月于1991年11月19日收住院。患者于10年前始感左耳内痒,挖耳后致耳痛,并流少量粘性分泌物,未进行过诊治自愈。此后反复发作,每年1～4次不等。多由受凉后引起,无头痛,不发热,听力逐渐下降。曾间断服用抗生素类药物效果不佳。半年前上述症状加重,并出现乳突部肿胀隆起,耳痛、发热、体温达39℃,头痛、无恶心呕吐,耳道流脓,量不多有臭味。在当地医院诊为耳后脓肿并施行切开引流,反复换药约1个月左右,刀口方愈合。近1个月左耳后又肿胀,头痛来院就诊。入院查体:全身检查无异常发现,颅神经检查正常。专科检查:左外耳道前壁隆起,表面糜烂,触之坚硬,阻塞耳道呈狭缝状,耳道后壁皮肤充血肿胀,耳道内有少量粘脓性分泌物溢出,耳后沟消失,乳突部皮肤充血肿胀、压痛、波动
Patient Lee, female, 30 years old, farmer. Intermittent pus left ear, deafness for more than 10 years, ear swelling, headache for 1 month in November 19, 1991 admitted to hospital. Patients began to feel left ear itch 10 years ago, ear earache pain, and flow a small amount of viscous secretions, did not conduct diagnosis and treatment of self-healing. After repeated attacks, 1 to 4 times a year. More caused by the cold, no headache, no fever, hearing decreased. Have intermittent taking antibiotics ineffective. Six months ago, the symptoms worsened, and swelling and swelling of the mastoid appeared, earache, fever, body temperature of 39 ℃, headache, no nausea and vomiting, ear canal pus, a small amount of odor. In the local hospital diagnosed as ear abscess and the implementation of incision and drainage, repeated dressing about 1 month, knife edge healing. Nearly one month after the left ear and swelling, headache to the hospital. Admission examination: No abnormalities found in the whole body examination, normal cranial nerves examination. Specialist examination: the left front ear canal uplift, surface erosion, hard touch, obstruction of the ear canal was slit-like, posterior wall of the ear canal hyperemia and swelling, ear canal a small amount of purulent secretions spill, disappeared behind the ditch, mastoid Department of skin congestion and swelling, tenderness, fluctuations