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病历摘要患者男性,40岁。于1983年5月17日感左下颌有牙痛,并有同侧颌下区肿痛不适。入院后给予抗感染治疗,但疼痛仍继续加重。口腔颌面部情况:两侧颌下区及颏下区均有肿胀,以左颌下和颏下区尤甚,局部质硬,触痛明显,无波动感,亦无红热现象,张口轻度受限,流涎多,口底稍红肿,但舌运动尚好。左下颌第二、三磨牙颊侧牙龈红肿,龈隙溢脓,第三磨牙松动并有明显叩击痛。化验检查:血红蛋白17克,白细胞22,400,中性95%,淋巴5%。尿常规正常。临床诊断。广泛性口底蜂窝织炎治疗经过:5月21日体温上升至
Patient summary Male patient, 40 years old. In May 17, 1983 a sense of left toothache with toothache, and ipsilateral submandibular swelling and pain discomfort. Anti-infective treatment was given after admission, but the pain continued to worsen. Oral and maxillofacial conditions: both submandibular and submental areas have swollen to the left submandibular and especially the submental area, local hard, tenderness, no fluctuations, no red hot phenomenon, mouth light Degree is limited, salivation and mouth a little swollen, but the tongue movement is still good. Left mandibular second, third molars buccal gingival swelling, pus crepis overflow, the third molars loose and obvious percussion pain. Laboratory tests: 17 grams of hemoglobin, 22,400 white blood cells, 95% neutral, lymphatic 5%. Urine routine normal. clinical diagnosis. Extensive mouth at the end of cellulitis treatment: May 21 body temperature rose to