耳源性脑脓肿多发生在患耳同侧的大脑颔叶和小脑。病情危急，若抢救不及时易导致死亡，死亡率可高达41％～50％。本文报告2例，因诊断抢救及时，分别从颞部钻孔进路和乳突进路穿刺排脓并应用抗生素而治愈。例至男，20岁。因左耳流脓19年、剧烈头痛伴呕吐1周、阵发性神志不清3d Ear-derived brain abscess occurs in the ipsilateral cerebellar lobe and cerebellum. Critical condition, if the rescue is not easy to cause death in time, the mortality rate can be as high as 41% to 50%. This article reports 2 cases, due to timely diagnosis and rescue, respectively, from the temporal drilling approach and papillary access puncture drainage and antibiotics and cure. Case to male, 20 years old. Due to left ear pus 19 years, severe headache with vomiting for 1 week, paroxysmal delirium 3d