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患儿男,10岁,因面部红肿疼痛、张口困难、高热40℃5天,当地人民医院治疗无效而入本院.入院时面颊红肿,以左侧为剧,并有大块黑色痂皮,压痛明显,血WBC27.8×10~9/L,N82%,用青霉素类药物治疗未能缓解,体温仍在39.5℃以上.局部分泌物深紫色,首次培养检出铜绿色假单孢菌,后相继从脓及血液中5次分离出紫色色杆菌.住院后在局麻下清除面部坏死组织,先用红霉素、庆大霉素,后改先锋V静脉滴注,血WBC计
Children aged 10, due to facial swelling and pain, mouth opening difficulties, hyperthermia 40 ℃ 5 days, the local People’s Hospital invalid into the hospital when the hospital was inflamed cheeks to the left for the play, and a large black crust, Tenderness, blood WBC27.8 × 10 ~ 9 / L, N82%, with penicillin drug treatment failed to alleviate the body temperature is still above 39.5 ℃ .The local secretions dark purple, the first culture detected Pseudomonas aeruginosa, After five from the pus and blood were isolated purple Chromobacterium.After hospitalization under local anesthesia to remove facial necrosis tissue, first with erythromycin, gentamicin, vanguard pioneer V intravenous infusion, blood WBC