本文選題：肉芽腫性多血管炎 + 抗中性粒細(xì)胞胞質(zhì)抗體　； 參考：《臨床耳鼻咽喉頭頸外科雜志》2017年08期

【摘要】：正1病例報(bào)告例1女,25歲,以"雙耳聽力下降3月余,咳嗽、發(fā)熱14d"為主訴入院�；颊�3個(gè)多月前受涼后出現(xiàn)雙耳疼痛伴耳道流膿、聽力下降,左側(cè)口角歪斜,雙側(cè)鼻塞,流黃涕,間斷發(fā)熱,到外院就診,診斷為"化膿性中耳炎,慢性鼻竇炎,周圍性面癱(右)",行雙側(cè)乳突開放術(shù)及針灸、鼻竇穿刺沖洗等治療后耳痛減輕,面癱好轉(zhuǎn),但仍有發(fā)熱,出現(xiàn)午后盜汗,鼻塞加重,雙耳聽力急劇下降至全聾,咳嗽、咳白色泡沫樣痰,心悸,無胸痛,予抗感染、解熱鎮(zhèn)痛等治療后仍不理想,近期體重下降10余斤。既往史、家族史無特殊。入院查體:T38℃,P114次/
[Abstract]:Case 1: case 1 female 25 years old, admitted to hospital with "binaural hearing loss for more than 3 months, cough and fever for 14 days". More than 3 months ago, the patient developed binaural pain with pus in the ear canal, hearing loss, oblique left mouth angle, bilateral nasal obstruction, yellow snot, intermittent fever, and was diagnosed as "suppurative otitis media, chronic sinusitis," Peripheral facial paralysis (right), bilateral mastoidectomy, acupuncture and moxibustion, nasal sinus puncture and irrigation, etc., after the treatment of ear pain relief, facial paralysis improved, but still have fever, afternoon night sweating, nasal congestion aggravated, ears hearing sharply reduced to full deafness, cough, Cough white foam phlegm, palpitations, no chest pain, anti-infection, antipyretic analgesia and other treatment is still not ideal, weight loss of more than 10 jin in the near future. Past history, family history has no special. Admission examination: T38 鈩，

本文編號(hào)：1921954