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病例报告患者,男,27岁。于1988年8月26日出现双侧腮腺肿痛。8月30日感头晕,耳鸣,目眩,恶心,呕吐,右耳听力障碍。同时左侧睾丸肿痛,伴有发热。于9月4日入院。查体:体温40℃,脉搏100,血压14/8kPa(105/60mmHg)。神志清楚,急性发热病容,精神差。皮肤(-)。双侧腮腺肿大,压痛(+)。巩膜未见黄染。咽充血,双扁桃体Ⅰ度大.双外耳道无异常,双耳咽管通畅,耳膜完整,标志清楚,活动好。音叉检查,512Hz 右耳气骨导均消
Case report patient, male, 27 years old. On August 26, 1988 bilateral parotid swelling and pain. August 30 Dizziness, tinnitus, dizziness, nausea, vomiting, right ear hearing impairment. At the same time left testicular swelling, accompanied by fever. Admitted on September 4. Physical examination: body temperature 40 ℃, pulse 100, blood pressure 14 / 8kPa (105 / 60mmHg). Consciousness, acute fever, mental retardation. skin(-). Parotid swelling on both sides, tenderness (+). Sclera no yellow dye. Pharyngeal hyperemia, double tonsil degree I. Large double external auditory meatus, both ears and pharyngeal patency, eardrum complete, clear logo, good activity. Tuning fork examination, 512Hz right ear air conduction were eliminated