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例1,男,49岁,接触黄磷16年。1977年3月12日入院。左上牙痛伴流血一月。一年前拔左上后牙。扦:左颊肿,缺;牙龈糜烂;齿槽骨暴露呈灰黄色。松动。血红蛋白10.5g、红细胞312万、白细胞5550、分类正常,肝功能正常,血钙10mg％,血磷3.5mg％,AKP正常,康氏反应(一),x线片见牙槽骨骨质破坏。于3月21日局麻下处摘出颌骨死骨三块,3月25日又摘出米粒大死骨4块。诊断:磷毒性颌骨坏死。 例2,男51岁,接触黄磷17年。1980年10月诉牙痛,12月拔除术后抗生素治疗,但伤口长期不
Example 1, male, 49 years old, exposed to phosphorus yellow for 16 years. March 12, 1977 admission. Top left toothache with bleeding in January. Pull the left upper back teeth a year ago. Stick: left cheek swelling, missing; gum erosion; alveolar bone exposed grayish yellow. Loose. Hemoglobin 10.5g, erythrocytes 3120000, white blood cells 5550, normal classification, normal liver function, serum calcium 10mg%, phosphorus phosphorus 3.5mg%, AKP normal, Kang’s response (a), x-ray bone alveolar bone destruction. On March 21, under the local anesthesia, three pieces of jaw bone were removed, and on March 25, four pieces of big grain of dead rice were picked up. Diagnosis: Phosphate toxicity of jaw necrosis. Example 2, male 51 years old, contact with phosphorus for 17 years. October 1980 toothache, December removal of postoperative antibiotics, but the wound is not long-term