论文部分内容阅读
1病例报告患者女,20岁。因右面部肿痛、张口困难1天就诊。查体:体温36℃,脉搏72/min,血压110/70mmHg。双侧面颊不对称,右侧明显肿胀,右颌下淋巴结肿大、压痛。口腔黏膜无溃疡,牙齿无脱落、龋及义齿。右侧智齿啮合面被肿胀的齿龈覆盖,红肿压痛,未见脓性分泌物。咽部轻度充血,扁桃体无肿大。无药物过敏史。实验室检查,白细胞计数正常,中性粒细胞轻度增高;生化指标未见异常。诊断为冠周炎。给予青霉素800万U静脉滴注,每天1次,当滴注约40min时,患者出现阵发性呃逆,经饮水无缓解,滴注完毕后,呃逆逐渐缓解。第2天再滴注时仍出现相同情况,考虑呃逆为青霉素所致。
1 case report patient female, 20 years old. Because of the right side of the swelling and pain, mouth one day treatment difficulties. Physical examination: body temperature 36 ℃, pulse 72 / min, blood pressure 110 / 70mmHg. Unilateral bilateral cheeks, obvious swelling on the right, right submandibular lymph nodes, tenderness. Oral mucosa without ulcers, no teeth off, caries and dentures. The right wisdom tooth engagement surface is covered with swollen gums, swelling and tenderness, no purulent secretions. Pharyngeal mild hyperemia, tonsils without swelling. No history of drug allergy. Laboratory tests, normal white blood cell count, mild increased neutrophils; no abnormal biochemical indicators. Diagnosis of pericoronitis. Given penicillin 8 million U intravenous infusion, once a day, when the infusion of about 40min, patients with paroxysmal hiccups, no relief by drinking water, after infusion, hiccups gradually ease. The same situation occurs when the next day drip, consider hiccups due to penicillin.