2例肉芽肿性多血管炎误诊分析并文献复习

发布时间：2018-05-22 11:57

  本文选题：肉芽肿性多血管炎 + 抗中性粒细胞胞质抗体　； 参考：《临床耳鼻咽喉头颈外科杂志》2017年08期

【摘要】：正1病例报告例1女,25岁,以"双耳听力下降3月余,咳嗽、发热14d"为主诉入院。患者3个多月前受凉后出现双耳疼痛伴耳道流脓、听力下降,左侧口角歪斜,双侧鼻塞,流黄涕,间断发热,到外院就诊,诊断为"化脓性中耳炎,慢性鼻窦炎,周围性面瘫(右)",行双侧乳突开放术及针灸、鼻窦穿刺冲洗等治疗后耳痛减轻,面瘫好转,但仍有发热,出现午后盗汗,鼻塞加重,双耳听力急剧下降至全聋,咳嗽、咳白色泡沫样痰,心悸,无胸痛,予抗感染、解热镇痛等治疗后仍不理想,近期体重下降10余斤。既往史、家族史无特殊。入院查体: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，

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