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患者,女,51岁。因突发性持续性眩晕,左耳聋、耳鸣、耳阻塞感,伴恶心、呕吐25 d于1999年11月21日入院。患者于25 d前,因左耳闷胀不适在他院就医,诊断为左侧咽鼓管阻塞,行Politzer球咽鼓管吹张治疗时,突觉头部“轰”的一声响,随即出现旋转性眩晕,左耳聋、耳鸣、耳阻塞感,伴有恶心、呕吐。经用能量合剂、扩张微血管等药物治疗23 d症状无改善。住院体检:血压124/90 mmHg(1 mmHg=0.133 kPa),神志清楚,闭目静卧,自发性水平性眼震快相向右。左耳Tullio试验阳性。纯音测听以语言频率均值计算,左耳气导听力损失
Patient, female, 51 years old. Due to sudden persistent dizziness, left deaf, tinnitus, ear obstruction, with nausea, vomiting 25 d on November 21, 1999 admitted. Patients 25 days ago, because of left ear muffled discomfort in his hospital for treatment, the diagnosis of left eustachian tube obstruction, line Politzer ball eustachian tube blowing Zhang treatment, the sudden head “bang” sound, then appeared Rotating vertigo, left deafness, tinnitus, ear obstruction, accompanied by nausea, vomiting. After using energy mixture, dilation of capillaries and other drugs did not improve the symptoms of 23 d. Physical examination: blood pressure 124/90 mmHg (1 mmHg = 0.133 kPa), conscious, eyes closed lying, spontaneous horizontal nystagmus rightward. Tullio test positive in the left ear. Pure tone audiometry to calculate the average language frequency, left ear aural loss