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患者男性,25岁,因发热咽痛,吞咽及张口困难4天,于1990年5月8日入我院耳鼻喉科住院,诊断急性坏死性咽喉炎。当时颈前皮肤红肿,有压痛,咽充血明显,右侧扁桃体Ⅲ度肿大,周围组织糜烂、充血、水肿,中央有坏死,右侧软腭糜烂,悬雍垂充血肿胀,左侧扁桃体Ⅱ~0肿大,周围红肿。给予青霉素160万u/日,氢化可的松200mg/日静滴等治疗;因呼吸困难又行气管切开。
Male, 25 years old, suffering from fever, sore throat, swallowing and mouth opening difficulties for 4 days, on May 8, 1990 admitted to our hospital ENT, the diagnosis of acute necrotizing pharyngitis. At that time neck skin swelling, tenderness, pharyngeal congestion was obvious, the right tonsil Ⅲ degree enlargement, surrounding tissue erosion, congestion, edema, central necrosis, right soft palate erosion, uvula hyperemia, left tonsil Ⅱ ~ 0 Swelling, swelling around. Give penicillin 1.6 million u / day, hydrocortisone 200mg / day intravenous infusion and other treatment; tracheotomy because of breathing difficulties again.