最近我院收治1例右颌下放线菌病患者,因误诊致病程迁延达15年之久,且病灶内取出1枚“黄豆”大小的“硫磺颗粒结石”,实属少见,现报告如下:患者翁××,男、61岁,农民(住院号89—4161)。右颌下肿块反复肿痛,破溃,流脓15年而于1989年5月5日入院。15年前,右颌下有一个约“核桃”大小的肿块,疼痛伴发热,经某医院诊断为“右颌下淋巴结炎”,并行“右颌下淋巴结摘除术”。术后疼痛缓解,但肿块一直未能完全消除。每隔3～5个月,肿块即自行破溃,流出浅黄色粘稠脓液,经当地卫生院给予“青、链霉素”治疗数日后,症状好转,但破溃创口不能完全愈合。2个月前,上述症状加剧,上述药物间断治疗亦无明显效果,故来本院诊治。入院后 Recently admitted to our hospital in 1 case of submandibular Actinomycosis patients, due to misdiagnosis of the pathological duration of up to 15 years, and the removal of a “soybeans” size “sulfur particles stones”, it is rare, the report is now As follows: Patient Weng × ×, male, 61 years old, farmer (hospital number 89-4161). Submaxillary mass repeatedly swelling and pain, ulceration, pus 15 years and was admitted to the hospital on May 5, 1989. Fifteen years ago, there was a mass of about “walnut” under the right mandibula with pain associated with fever. It was diagnosed by a hospital as “submandibular lymphadenitis” in parallel with “submandibular lymph node dissection.” Postoperative pain relief, but the lumps have not been completely eliminated. Every 3 to 5 months, the lump ruptured itself, out of a light yellow viscous pus, the local hospitals to give “green, streptomycin” treatment a few days later, the symptoms improved, but ulceration wounds can not be completely healed. 2 months ago, the above symptoms worsened, intermittent treatment of these drugs also had no significant effect, it came to our hospital. After admission