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中耳癌较少见,就我科现存资料尚未见关于该病的记载,由于中耳癌而引起颅内并发症者在耳科临床中就更为罕见.1986年3月我科收治一名右中耳癌并发硬脑膜外脓肿的患者,报导如下.患者陈××,男性、62岁,农民,病案号174753,因右耳间断性流脓50余年,伴眩晕、恶心5天而入院.入院查体:体温36.6℃,脉搏74次/分,呼吸16次/分,血压160/100mmHg.心肺无异常体征,肝脾肋下未触及.专科检查:神志清楚步态欠稳,未见眼震,无颅神经受侵征象.耳廓无畸形,乳突无压痛,右外耳道峡部可见似肉芽样组织,并有少量渗血,有恶臭味;左外耳道干洁,鼓膜各标志清晰.音叉试验Rinne test右骨导>气导,Weber test偏右,Schwabach test右延长.双侧鼻腔、鼻咽腔无阳
Middle ear cancer is rare, there is no record of the disease on the existing information in our department, due to the middle ear cancer caused by intracranial complications in the clinical otolaryngology is even more rare. Right middle ear cancer complicated with epidural abscess patients, reported as follows.Chen × ×, male, 62 years old, farmer, medical record number 174753, due to intermittent purging of the right ear more than 50 years, with dizziness, nausea and 5 days and admitted to hospital. Admission examination: body temperature 36.6 ℃, pulse 74 beats / min, breathing 16 beats / min, blood pressure 160 / 100mmHg. No abnormal signs of cardiopulmonary, liver and spleen ribs did not touch.Special examination: Conscious gait is not stable, no eye Shock, no signs of cranial nerve invasion. No deformity of the auricle, papillae no tenderness, the right canine isthmus can be seen like granulomatous tissue, and a small amount of oozing, stench; left external auditory canal clean, clear signs of the tympanic membrane. Rinne test Right guide> Air conduction, Weber test Right, Schwabach test Right extension Bilateral nasal, nasopharyngeal No positive