原发性三叉神经痛患者如伴发牙髓炎,病人常主诉为三叉神经痛复发,易误诊误治。就近年来经治6例此类患者,小结点谪体会,供临床参考。 6例中女5例,男1例,年龄52岁～78岁。 例一:李××,女,55岁,干部。患原为发性三叉神经痛四年,症状有时缓解,有时加重。二个月前复发疼痛。右上唇阵发闪电样剧痛,向右颞部放射,持续20秒左右。口服卡马西平、大仑丁、氯硝安定,肌注Vit B_1、B_(12)后,无明显好转。近三天来症状加重,疼痛 Patients with primary trigeminal neuralgia such as concomitant pulpitis, the patient often complains of trigeminal neuralgia recurrence, misdiagnosis and mistreatment. In recent years, 6 cases of these patients by treatment, a small point of experience, for clinical reference. 6 cases of female 5 cases, 1 male, aged 52 years to 78 years. Example 1: Li × ×, female, 55 years old, cadre. Patients suffering from trigeminal neuralgia for four years, the symptoms are sometimes relieved, sometimes aggravated. Recurrent pain two months ago. Right upper lip burst flash lightning pain, to the right temporal radiation, sustained about 20 seconds. Oral carbamazepine, darun Ding, clonazepam, intramuscular Vit B_1, B_ (12), no significant improvement. The past three days, the symptoms worsened, pain