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急性白血病是一种造血组织的恶性疾病。白血细胞对口腔粘膜的侵犯以白血病龈炎多见,致上下颌骨牙龈炎症颌骨暴露罕见。现将笔者遇到的1例报告如下。 患者,男,66岁。以下颌区肿痛、颌骨暴露一年半入院。一年半前,患者欲镶牙拔除上颌前部及下颌后部松动牙。拔牙后伤口不愈。曾到当地医院求治,诊断为上下颌骨骨髓炎,给予局部刮治、抗炎治疗,症状无好转。两个月前,局部肿胀加重,伴发烧、颏部软组织破溃形成瘘道,有脓性分泌物流出。
Acute leukemia is a malignant disease of hematopoietic tissue. White blood cells on the oral mucosa of the more common with leukemia, gingivitis, jaw and jaw caused by inflammation of the jaw is rare. Now I encountered a report as follows. Patient, male, 66 years old. To the following areas of jaw pain, jaw and a year and a half hospitalized. A year and a half ago, patients want to set the tooth removal of the maxillary anterior and mandibular rear loosen teeth. Wound healing after tooth extraction. Had to the local hospital for treatment, diagnosis of mandibular osteomyelitis, give local scratch cure, anti-inflammatory treatment, no improvement in symptoms. Two months ago, local swelling increased, with fever, chin soft tissue rupture formation fistula, purulent discharge.