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患者:男,21岁,兰州市人,银行职员。1983年3月25日因拔牙创肿痛来我科就诊。患者于半月前,因牙周反复肿胀,在某医院行6拔除术,手术困难,历时约一小时后被告知:牙齿未能拔出。建议拍X片后再做处理。患者当时用舌舔患牙,觉患牙已不存在,自认为仅有部分牙根残留,未作进一步检查。术后局部肿胀疼痛,伴有全身发热。近日来,全身症状基本消失,但拔牙创仍肿痛不适,咳嗽时可觉气体自拔牙创处益出,体位改变时,上颌骨内有异物撞击感,口腔及鼻腔内有臭味,伴有同侧头痛,要求治疗。患者全身一般情况良好,营养中等,既往身体健康。个人史、家族史无特殊记载。化验室检查:白细胞总数7600/mm~3。面部及右侧面颊部轻度水
Patients: male, 21 years old, Lanzhou people, bank staff. March 25, 1983 due to tooth swelling and pain to our department. Patients in a half months ago, due to repeated periodontal swelling, removal of a line in a hospital 6, surgery difficult, took about an hour later was told: the teeth failed to pull out. Proposed X-ray film to do after treatment. Patient was licking the tongue with his tongue at that time, and his teeth no longer existed. He believed that only part of the root resided and did not undergo any further examination. Local swelling and pain after surgery, accompanied by systemic fever. In recent days, the general symptoms disappeared, but the toothpaste is still swollen and discomfort, cough gas can be perceived as a self-pulling tooth benefits, position changes, the upper jaw with a foreign body impact, oral and nasal odor, accompanied by Ipsilateral headache, requiring treatment. The general condition of patients with good general, moderate nutrition, previous physical health. Personal history, family history no special records. Laboratory tests: the total number of white blood cells 7600 / mm ~ 3. Mild water on face and right cheek