慢性化脓性中耳炎(邱建华)---副本.ppt

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,*,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,耳鼻咽喉头颈外科学,耳鼻咽喉头颈外科学,第一篇,耳科学（,4,）,第十二章,化脓性中耳乳突炎并发症,第一节,总论,耳源性并发症,发病的相关因素,分类,诊断与治疗,总论,炎症破坏骨壁途径,颅内并发症,硬脑膜外脓肿,硬脑膜下脓肿,脑膜炎,乙状窦血栓性静脉炎,脑脓肿,颅外并发症,周围性面瘫,Otogenic Facial Palsy,躯体运动,支配面部表情肌、镫骨肌、耳后肌、二腹肌后腹肌及颈廓肌,内脏运动,支配泪腺、下颌下腺、舌下腺及鼻咽、软硬腭黏膜（副交感神经）,特殊感觉,舌前,2/3,的味觉,一般感觉,耳后及外耳道皮肤的一般感觉,解剖,炎症直接侵犯,血管痉挛导致神经水肿,胆脂瘤破坏骨管压迫神经,病因,临床表现,药物治疗,手术治疗,激素,抗生素,面神经减压术,乳突根治术,治疗,小脑脓肿,乙状窦血栓,耳源性脑膜炎,Otogenic Meningitis,急、慢性化脓性中耳乳突炎,软脑膜和蛛网膜急性化脓性炎症,局限性和弥漫性脑膜炎,概念,原疾病基础上出现高热、头痛、呕吐,脑膜刺激征,精神及神经症状,血常规检查,脑脊液检查,临床表现,足量有效的抗生素,及早行乳突根治术、清除病灶、通畅引流,支持疗法,治疗,耳源性并发症,颅外并发症,颅内并发症,小 结,Thank You!,