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患者孙××;女,50岁。住院号:1314;2169。因舌痛,吞咽困难渐进性加重16天,于1983年1月7日求治。16天前因左下后牙疼痛曾在当地行患牙疼痛拔除。手术历时约2小时。检查:痛苦病容,言语欠清。张口3cm,8拔牙创无红肿,舌下区无异常。舌体无明显肿大、充血,前仲运动无明显受限。遂误认为“癔病”未做特殊处理。2天后,患者再次就诊。诉上述症状加重,吐脓液痰,畏寒,发热。检查:T37℃,P90次,R20次,颌面部正常。张口1.5cm,舌体充血,肿胀,舌根部尤甚。舌运动受限。检查舌根部左侧缘有一溢脓点,触压舌根有少量黄稠脓液溢出。舌下区正常。左
Patient Sun × ×; female, 50 years old. Hospital number: 1314; 2169. Due to tongue pain, progressive dysphagia increased 16 days, in January 7, 1983 seek treatment. 16 days ago because of pain in the lower left posterior teeth had dental pain in the local removal. Surgery lasted about 2 hours. Check: painful illness, speech is not clear. Open mouth 3cm, 8 no tooth swelling, sublingual area without exception. Tongue no obvious enlargement, congestion, before the secondary movement no obvious limitation. Then mistakenly believe that “hysteria” did not make special treatment. Two days later, the patient visited again. The above symptoms increase, spit pus sputum, chills, fever. Check: T37 ℃, P90 times, R20 times, maxillofacial normal. Open mouth 1.5cm, tongue congestion, swelling, tongue especially. Tongue movement is limited. Check the left edge of the tongue root has an overflow pus point, touch the tongue root a small amount of yellow thick pus overflow. Sublingual area is normal. left