特发性血鼓室  

Idiopathic hemotympanum

作　　者：汪吉宝[1] 刘邦华[1] 易星[1] 余青松[1] 师洪[1] 刘世英[1] 

机构地区：[1]同济医科大学附属协和医院耳鼻咽喉科

出　　处：《耳鼻咽喉（头颈外科）》1996年第2期74-76,共3页Chinese Arch Otolaryngology-Head Neck Surg

摘　　要：特发性血鼓室是指中耳原因不明的出血而蓄积咖啡色分泌物、鼓膜呈蓝色的临床现象。作者于１９９１～１９９４年共诊治特发性血鼓室１８耳，经额骨ＣＴ扫描、鼓室。乳突探查及组织学检查，其中６耳（３３．３％）诊断为胆固醇肉芽肿，１２耳除中耳有咖啡色液体外，未发现肉芽组织。８例患者对侧耳诊断为一般分泌性中耳炎。病人随访０．５～３年，２耳复发，１耳自愈，１５耳治愈。Abstract Miopathic hemotympanum is a clinical entity characterizd bychocolate-colored fluid in the middle ear,a blue tympanic membrane discoloration as a result of hemorrhage due to un-clear factors. During the years of l991 to l994,18 ears with idiopathic blue eardrum were found.Based on observation of computed tomography(CT)scan,discovery in tympano-mas-toidectomy and of histopathoIogical examination,6 ears were diagnosed as cholesterol granu lomas. The other l2 ears were found to have only chocolate-colored fluid in the middle ears and no cholesterol granuloma. The opposite ears were diagnosed as secretory otitis media without hemorrhage in 8 patients.

关 键 词：中耳疾病 特发性血鼓室 胆固醇肉芽肿 中耳炎 

分 类 号：R764.202[医药卫生—耳鼻咽喉科]