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本文拟结合具体病例对常见的耳鼻咽疾病的误诊进行分析,以启迪于同道。一、外伤性脑脊液鼻漏、脑膜膨出误诊7年患者,郭某,男性,12岁。于5岁时(1971年8月)右手持竹筷玩耍不慎跌倒,竹筷刺入右侧鼻腔,曾流血,经当地医院处理出血停止。此后右侧鼻腔经常有少量清水样“鼻涕”流出,未介意。半年后因受凉突然高热、头痛、恶心,并有喷射状呕吐和颈颈强直。腰穿行脑脊液检查,诊断为化脓性脑膜炎。用“磺胺”及“青霉素”等治疗“痊愈”。以后因感冒、游泳等上述症状反复出现10次,均诊断为脑膜炎住院治疗。住院最短16天,最长35天。1978年7月,
This article will be combined with specific cases of misdiagnosis of common otolaryngological diseases in order to enlighten in the same way. First, traumatic cerebrospinal fluid rhinorrhea, meningioma misdiagnosed 7 years patients, Kwak, male, 12 years old. At the age of 5 (August 1971) right hand holding chopsticks to play carelessly fall, bamboo chopsticks pierced the right nasal cavity, had bloodshed, bleeding stopped by the local hospital. Since then the right nasal often have a small amount of water samples “nose ” outflow, did not mind. Six months after the sudden cold due to cold heat, headache, nausea, and jet-like vomiting and neck stiffness. Waist through cerebrospinal fluid examination, diagnosis of purulent meningitis. With “sulfa ” and “penicillin ” treatment “cure ”. After the cold, swimming and other symptoms repeatedly appear 10 times, were diagnosed as hospitalized meningitis. The shortest 16 days hospitalization, up to 35 days. July 1978,