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耳带状疱疹10例临床分析

Clinical analysis of ten patients with Ramsay Hunt syndrome

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【作者】 马开琳;

【Author】 Ma Kailin(From the Department of Otolaryngology,Beijing Sixth Hospital,Beijing 1OOOO7)

【机构】 北京市第六医院耳鼻咽喉科!100007;

【摘要】 报道10例耳带状疱疹综合征(RamsayHuntsyndrome)病人临床资料,就其临床表现,治疗方法及疗程疗效进行分析。疱疾病毒常侵犯面神经,也可侵犯第Ⅴ、Ⅷ、Ⅸ、Ⅹ等颅神经,从而产生不同的疤疹征候群。耳带状疱疹引起面瘫,三叉神经节炎的面部疱疹和颈神经炎的颈部疱疹也可引起面瘫。本组病例经抗病毒药剂及神经营养药物治疗,预后较好,面神经恢复满意者5例,较好2例,差者1例。患者较长时间疱疹区剧烈疼痛是值得今后研究的问题。

【Abstract】 Ten patients with Ramsay Hunt syndrome were treated in our depart-ment from 199O to 1998.There were 6 males and 4 females,ranging in age from 37 to 8Oyears old. Otagia (earache) and eruption presented in all ten patients,whereas facial pal-sy was 8 0f lO. The herpetic eruption of external ear was earlier than facial palsy in 4,fa-cial palsy earlier than erupti0n in 4. The moderately severe hearing l0ss was in 7,withtinnitus in 6, vertigo in 6. All the patients were treated given anti-virual agent,steroidand neuronutrition agents. The effects on the recovery of facial muscle movement wereexcellent in 5,good in 2,and poor in 1- Lasting otalgia of these patients form 15 to 6Odays was a real hot potato for doctors and it’s relief needs further study.

  • 【文献出处】 耳鼻咽喉头颈外科 , 编辑部邮箱 ,1999年06期
  • 【分类号】R764
  • 【被引频次】5
  • 【下载频次】79
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