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组织活检并发术后失血性休克实属少见,我科门诊遇到1例,现报告如下。患者甘××、女、15岁、江西丰城县人。住部号186144。因右面颞部肿物5年,近1年增大比较明显,于1990年4月2日来我院就诊。入院前曾在某医院穿刺活检诊断“脂肪瘤”。既往史无特殊,一般情况好。全身皮肤有散在的色素沉着。口腔颌面外科情况:面颞部不对称,右侧有11×7×1cm大之肿物,质松软。肿物上界右侧眉弓上、内侧到鼻旁,鼻唇沟、外侧到耳廓后缘、下至下颌缘下1.5cm。外耳道因肿物生长接近闭塞。右眼裂较左眼裂变小。血常规及出凝血时间均属正常。临床诊断为淋巴管瘤。为了进一步确诊、用含肾上腺素的2%普鲁卡因作局麻进行活检。在耳屏前下方作长约1cm的皮肤切口,在腮腺嚼肌筋
Tissue biopsy postoperative hemorrhagic shock is rare, I encountered 1 clinic clinic, are as follows. Patients Gan × ×, female, 15 years old, Fengcheng County, Jiangxi. Part number 186144. Due to the right temporal tumor 5 years, nearly 1 years increased significantly, in April 2, 1990 came to our hospital. Before hospital admission in a hospital biopsy diagnosis “lipoma.” No history of the past, the general situation is good. Whole body skin scattered pigmentation. Oral and maxillofacial surgery: facial asymmetry, the right side of the 11 × 7 × 1cm large mass, soft quality. The tumor on the right eyebrow bow, the medial to the nasal side, nasolabial fold, lateral to the auricle posterior margin, under the mandibular margin of 1.5cm. External auditory canal due to tumor growth close to occlusion. Right fissure fissure smaller than the left eye. Blood and clotting time are normal. Clinical diagnosis of lymphangioma. For further diagnosis, biopsy was performed with 2% procaine containing epinephrine for local anesthesia. In front of the tragus for a length of about 1cm skin incision, mump muscle muscle chewing