耳源性破伤风1例

Diagnosis and treatment for 1 patient with otogenic tetanus

目的:总结耳源性破伤风的临床诊断、鉴别诊断及治疗的经验。方法:总结1例诊疗经验并复习相关文献。结果:经及时诊断并治疗患者痊愈。结论:遇有慢性化脓性中耳炎病史者,如伴有咀嚼不便、张口困难、面部表情肌功能异常,均应详细采集病史,排除口腔颌面部病变后,应考虑破伤风的可能。早期准确诊断并及时治疗,预后一般较好。

Objective： To review the diagnosis and treatment for otogenic tetanus. Methods： The diagnosis and treatment experience on a patient suffering from otogenic tenutas was summarized and the associated literatures were reviewed. Results： The patient was diagnosed as having otogenic tetanus precisely when his medical history and physical sign were investigated and examined carefully and cured eventually. Conclusions： If a patient with suppurative otitis media chews inconveniently and opens mouth difficultly following facial muscles dysfunction, the possibility of tetanus should be considered after the oromaxiallo-facial region diseases are excluded.