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咽旁间隙感染临床上少见,我院曾收治1例重症患者,现报告如下:1 病例介绍患者女,66岁.半月前左下后牙痛,影响咀嚼,曾自服消炎药及静脉滴注青霉素等治疗无好转,病情逐渐加重,收入院治疗.体检:体温38℃、脉搏108次/分、血压82.5/60 mmHg.患者烦躁不安,呼吸急促,颌下肿胀,无波动感,张口度1 cm,左咽侧部红肿明显,略超过中线,悬雍垂偏向右侧,局部压痛明显,(?)残冠,触痛(?),松Ⅰ°,X线胸透心肺正常.化验检查白细胞24.6×10~9/L、中性84%,血红蛋白139 g/L,血小板276×10°/L.诊断:咽旁间隙感染.2 治疗
Parapharyngeal space infection clinically rare, our hospital had admitted 1 case of critically ill patients, are as follows: 1 case description of female patients, 66 years old .Two months after the lower back toothache, affecting chewing, had anti-inflammatory drugs and intravenous penicillin Physical examination: body temperature 38 ℃, pulse 108 beats / min, blood pressure 82.5 / 60 mmHg. Patients with irritability, shortness of breath, submandibular swelling, no fluctuation, mouth opening 1 cm, The left pharyngeal side of the obvious swelling, slightly over the centerline, uvula tend to the right side, local tenderness, (?) Residual crown, tenderness (?), Pine Ⅰ °, X-ray thoracic heart and lung. 10 ~ 9 / L, 84% neutral, hemoglobin 139 g / L, platelet 276 × 10 ° / L. Diagnosis: parapharyngeal space infection .2 treatment