病例:女,5岁。入院前20天述舌不适,家长未在意,此后舌隆起且渐增大,但不影响语言和进食,未经治疗。查体:T37.3 P86,发育中等,营养佳,神清合作,心肺无异常,肝脾未触及。舌体中部左侧呈半球状隆起,直径约1.5cm,表面颜色正常,界限清楚,光滑,可移动,中等硬度,无波动感及压痛,颌下淋巴结不大。白细胞计数10.3×19～9/L,中性0.64,淋巴0.36.血红蛋白120g/L,血沉5mm/1h,血小板及出凝血时间均在正常范围。X线胸透与心电图均无异常。初步诊断为舌肿瘤(皮样囊肿?)。入院第5日在全麻(经气管内插管)下手术,切开粘膜后未见包膜组织,钝行剥离,包块破裂流出脓汁约1ml和长约0.8cm的鱼刺,肿块立即消失,切除部分增 Case: Female, 5 years old. Twenty days prior to admission, the tongue was not palpable, parents did not mind, then tongue bulge and gradually increased, but did not affect the language and eating, untreated. Examination: T37.3 P86, moderately developed, good nutrition, clear cooperation, no abnormal heart and lung, liver and spleen not touched. The middle of the tongue is hemispherical bulge on the left, diameter of about 1.5cm, the surface color is normal, clear boundaries, smooth, removable, moderate hardness, no fluctuation and tenderness, submandibular lymph nodes is not. White blood cell count 10.3 × 19 ~ 9 / L, neutral 0.64, lymph 0.36. Hemoglobin 120g / L, erythrocyte sedimentation 5mm / 1h, platelets and a clotting time are in the normal range. X-ray chest and electrocardiogram were normal. Initial diagnosis of tongue tumors (dermoid cysts?). On the 5th day of admission, under general anesthesia (endotracheal intubation), no mucosal tissue was dissected after incision of the mucosa, blunt dissection and lumps of pus were discharged out of pus and about 0.8cm in length. The lump immediately disappeared , Cut off some of the increase