论文部分内容阅读
例1,男,13岁,因口角区肿胀伴高热入院。体检:T3℃,左上切牙尖周肿胀,上颌部肿胀。X 线示左上颌骨骨髓炎和左上颌窦炎。尖周穿刺有脓,故行切开排脓治疗。切口组织及骨质有坏死,恶臭。体温升至4℃,抗炎治疗无效,且局部溃烂继续进展,牙齿脱落,并与鼻腔、上颌窦及腭大孔沟通,致反复大出血。后因出现肠穿孔行肠部分切除术,病理诊断为恶性肉芽肿,半年后患者死亡。
Example 1, male, 13 years old, due to swollen mouth area with hyperthermia admission. Physical examination: T3 ℃, upper left incisor periapical swelling, maxillary swelling. X-ray showed left maxillofacial osteomyelitis and left maxillary sinusitis. Punctured puncture with pus, so the line incision pus treatment. Incision tissue and bone necrosis, stench. Body temperature rose to 4 ℃, anti-inflammatory treatment is invalid, and local ulceration continued to progress, tooth loss, and with the nasal cavity, maxillary sinus and palate large hole communication, resulting in repeated bleeding. After the bowel perforation due to intestinal partial excision, pathological diagnosis of malignant granuloma, six months after the patient died.