论文部分内容阅读
张×,男,71岁。右颌下肿物十年,逐渐肿大四、五年,阵发性刺痛一个半月。患病十年来未作过任何检查治疗。查体:体温36.8℃,脉搏68次/分,呼吸22次/分,血压19/11Kpa。发育正常,营养欠佳,一般体检未见异常。 右食指末节肿胀呈鼓锤状,暗紫色,指甲隆起,指尖顶端可见直径0.6cm蘑菇状凸起,表面有少许裂痕,压痛不明显,末节活动轻度受限。 颌面外科情况:右颌下区可见5×5×5cm大小肿块,结节状,皮肤颜色正常,质中等硬,基底活动差,按压痛。其后下方可触及两个小指肚大小活动淋
Zhang X, male, 71 years old. Right submandibular mass for 10 years, gradually swollen for four or five years, paroxysmal tingling for one and a half months. I haven’t had any checkup treatment for 10 years. Physical examination: body temperature 36.8°C, pulse 68 beats/min, breathing 22 beats/min, blood pressure 19/11 Kpa. Normal development, poor nutrition, no abnormal physical examination. The swelling of the right index finger in the distal segment was drum-shaped, dark purple, and the nail swelled. The tip of the fingertip showed a mushroom-shaped protrusion with a diameter of 0.6 cm. The surface had a few cracks, the tenderness was not obvious, and the distal segment activity was mildly limited. Maxillofacial surgery: In the right submandibular area, a mass of 5×5×5 cm in size was seen. The nodule-like, normal skin color, medium-hard mass, poor basal activity, and compression pain. Below the bottom two can touch the size of the activity of the little finger belly