Control analysis of 100 cases of otitis media with cholesteatoma surgery and X-ray snapped down cancer. Bore widowed population. Bore lonely, sudden Ying and Tang tumor tone seen in the 6 {surgery: 100 cases of otitis media with cholesteatoma were confirmed by surgery. Tympanic sinus cholesteatoma most 44 cases, accounting for 44 (Table 2). Canopy bone destruction in seven cases {sigmoid sinus anterior wall of the bone destruction in 15 cases; ethmoid bone destruction in five cases; mastoid surface of bone destruction in 13 cases. The facial nerve bony canal defect 8 cases. Discuss a diagnosis: statistics handled wooden confirmed for a total of 100 cases of cholesteatoma, preoperative x-ray films show obvious or suspected cholesteatoma signs in 68 patients; x line no cholesteatoma in 21 cases, x line the mastoid photos of diagnosis was 76.4. Therefore, conventional x-ray examination diagnosis of cholesteatoma. Although the value of conventional X-ray film diagnosis of cholesteatoma, but cholesteatoma in the attic, tympanic sinus entry, unless the larger, otherwise difficult to display 0. Of this operation, see the tympanum of the preoperative x-ray film on a low accuracy rate of diagnosis of cholesteatoma of the tympanic sinus entrance. I believe that conventional x-ray examination on the attic, tympanic sinus entrance cholesteatoma less diagnostic value. Because of the hidden attic and tympanic sinus entrance location, most likely the Lei attending. The cholesteatoma tympanic sinus entrance to a drum or tympanic sinus bone destruction often seen on the x-ray film, the surgery has been found. Therefore, clinical cholesteatoma while the x-ray did not see the destruction of bone and other phenomena, and can not explain the patient cholesteatoma exist. If the cholesteatoma destruction interruption of a continuous line of the sigmoid sinus before bi or days to cover bone, the local x-ray films bone defect. Day cover and sigmoid sinus and the anterior wall of bone destruction, surgical findings was 15 ~ 2O, of which only half can be x-ray shows 0. This article in the statistical case surgery rate (r 73) 75 states strong ring ¨ dig Wa State ● value the ¨ Sapporo l2323n2l55E2n Table 2 involved organs, the number of dead circumstances diagnostic criteria according to the literature 00 with information intended to temporarily following criteria: (1) Where the extent of disease more than three lung fields, empty or bacteria positive, and have severe symptoms of poisoning, weight loss, anemia or with severe complications diagnosis of severe pulmonary tuberculosis (2) Where a severe tuberculosis units in any of the following two or more than two persons diagnosed with severe pulmonary tuberculosis complicated by the MOF: ① respiratory failure: dyspnea, cyanosis, Pao: l? Tpmol / L (2mg/d1) to get rid of other causes. ④ The liver function failure: blood bilirubin cable>； 34.2 mol / L (2mg/d1), SGPT in value of the normal twice more. @ gastrointestinal failure: save stress ulcer, gastrointestinal bleeding without a history of ulcers. ⑥ brain function failure: no other etiology could be found to inhibit the feeling of drowsiness, coma discussion, severe pulmonary tuberculosis complicated by rooF management of the incidence table! organ function in the critical state failure, some not so serious stress induced hardship can affect an organ to its normal function, and pushed out easily lead to a continuous reaction occurred MOF0. this group of patients age, poor health, longer duration, more complications, low functional reserve of various organs, ugg uk, immune dysfunction, severe pulmonary tuberculosis complicated by MOF risk factors. On this basis, pneumothorax, large pleural effusion, lung compression Ling trap or lung infection, bronchiolar spasm, congestion, edema, exudation can lead to lung ventilation and gas exchange dysfunction, hypoxemia, this group of 94.1. if not promptly corrected, can occur in respiratory failure, starting in this group of respiratory failure accounted for 70.6 , suggesting that severe pulmonary tuberculosis complicated by MOF is more than the first, respiratory failure and then sequential caused by the MOF. poor drainage of massive hemoptysis, airway obstruction can lead to hypoxia, hemoptysis, or fever sweating, anorexia, vomiting can cause the effective circulating blood insufficient capacity or low blood pressure, the major organs in the hypoperfusion, ischemia and hypoxia of vital organs, resulting in tissue degeneration and necrosis caused by rooF followed by a large number of I dirty tuberculosis tuberculin-shaped through the blood resulting in severe lung infections caused by allergy and Gram-negative rod infections caused by toxin can activate complement, the cell disintegration and necrosis occurred in the MOF, severe lung knot pull the prevention and treatment and prognosis complicated by MOF: emphasis on prevention and early detection, treatment Division closely with Taiwan, and comprehensive treatment. ① anti-TB treatment to avoid the use of toxic and side effects of liver and kidney organs, drugs or reduce the dose to liver failure with streptomycin, ethambutol, a small dose of isoniazid i renal failure with Lifestyle (under 98).