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患儿男,2岁。1周来感冒继发左颌下肿痛,并迅速扩展为口底弥漫性红肿,持续高烧,在他院以青、链霉素治疗无好转,遂于1990年11月21日急诊入院。查体:T42℃,P160次/min,R36次/min,Wt12kg。重病容,嗜睡,颌下弥漫性红肿,颌颈沟消失,右侧达颌下三角,左侧到胸锁乳突肌后缘,以左侧颌下三角区为著,该处皮肤充血、发亮,似有波动感。口仅能张1指大,左舌下区红肿,舌体抬高偏右,活动略受限。实验室检查:WBC26.2×10~9/L,N 0.88,L 0.12。诊为急性
Children male, 2 years old. One week later, the patient had a secondary cold and swollen lower body swelling and pain and rapidly spread to diffuse inflamed swollen mouth. The patient continued to have a high fever. In his hospital, the treatment of cyanosis and streptomycin showed no improvement. He was admitted to the emergency department on November 21, 1990. Physical examination: T42 ℃, P160 times / min, R36 times / min, Wt12kg. Severe illness, drowsiness, submandibular diffuse swelling, jaw and neck disappear, the right up to the submandibular triangle, left to the sternocleidomastoid posterior margin to the left submandibular triangle as the area where congestion, hair Bright, it seems a sense of volatility. Mouth only Zhang 1 refers to large, left sublingual swollen tongue elevated right side, slightly limited activity. Laboratory tests: WBC26.2 × 10 ~ 9 / L, N 0.88, L 0.12. Diagnosed as acute