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患儿,女,10个月.舌下、口底部包块逐渐增大,哺乳困难,要求治疗。体格检查:T37.9℃.体重7.5kg,Hb9.6g.身体消瘦,营养不良,物理检查与胸透未查见其他异常。口腔颌面情况:舌下及口底部为一巨大包块充塞,使口腔过度张开,涎液外溢,肿块体积约6.5×7.5×6cm,其表面粘膜颜色稍紫,近颌下腺导管开口处有浅表糜烂。瘤体稍具囊性感,外侧可见迂曲扩张的血管。第一次试穿,内容为实质感,未抽出组织和液体。第二次穿刺抽出淡黄色液体6ml,静置片刻,部分形成凝块,其上层液体涂片镜检:RBC++,WBC4～6个/高倍,分类:淋巴91％,中性9％。包块X线摄片:肿块中部有0.7×0.7cm密度增高影,提示为静脉石。临床诊断:舌下口底部血管、淋巴管瘤。
Children, women, 10 months. Sublingual, mouth mass gradually increased, breast-feeding difficulties, require treatment. Physical examination: T37.9°C, weight 7.5kg, Hb9.6g. Body weight loss, malnutrition, physical examination and chest xenolysis were not checked for other abnormalities. Oral and maxillofacial conditions: Sublingual and floor of the mouth are filled with a huge mass of tissue, causing the mouth to open excessively, overflowing with sputum, and the volume of the mass is approximately 6.5×7.5×6cm. The surface of the mucosa is slightly purple in color, and the submandibular gland has a shallow opening at the catheter. Table erosion. The tumor was slightly cystic and the outside of the vessel was bulging and dilated. For the first try-on, the content was a sense of substance and no tissue or fluid was drawn. The second puncture pumped 6ml of pale yellow liquid and left for a while to form part of the clot. The upper layer of liquid smear was microscopically examined: RBC++, WBC 4-6/high power, classification: lymph node 91%, neutral 9%. Mass X-ray: The mass in the middle of the mass has a 0.7×0.7cm increase in density, suggesting a vein. Clinical diagnosis: sublingual floor vessels, lymphangioma.