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1病例报告患者男,21岁。因牙痛3天就诊。检查:左侧面部红肿,左上第三磨牙颊侧阻生,食物嵌塞,周围牙龈红肿,按压有黄色脓性液体流出。初步诊断为智齿冠周炎。给予2%利多卡因阻滞麻醉后拔除左上颌第三磨牙。术后给予青霉素480万U、甲硝唑0.5g和地塞米松注射液10 mg加入5%葡萄糖注射液250ml静脉滴注,每天1次。用药后第1天,患者感觉上肢无力,未引起重视;第2天继续用药,出现四肢无力,不能正常行走。平素体健,无既往病史及药物过敏史。查体:体温37.2℃,
1 case report Patient male, 21 years old. 3 days due to toothache treatment. Check: the left facial swelling, upper third molars buccal blocking, food impaction, swollen gums around, pressing the yellow purulent liquid outflow. Initial diagnosis of wisdom tooth pericoronitis. Give 2% lidocaine anesthesia after removal of the left maxillary third molars. Postoperative 4.8 million U of penicillin, metronidazole 0.5g and dexamethasone 10mg injection of 5% glucose injection 250ml intravenous infusion 1 day. On the first day after treatment, the patient felt weakness in the upper extremities and did not pay much attention. On the second day, he continued to receive medication and appeared weakness in the extremities and could not walk normally. Usually no health, no history of past illness and drug allergy history. Physical examination: body temperature 37.2 ℃,