论文部分内容阅读
患者郭××,女,42岁,护士。因左侧颜面部肿痛3天来口腔科就诊。追问病史患者1年前有类似肿痛发作史,在该院曾诊断为8冠周炎并发间隙感染,给予大剂量抗菌素治疗,症状改善后拔除8阻生牙。但间隔数月后仍有类似肿痛发作史,继而拔除67磨牙,先后反复肿痛,每次以青霉素每日160万iu肌注肿胀消退。口腔科检查:左侧下颌嚼肌及腮腺区肿胀明显,无触痛,颌下淋巴结无肿大,同侧颜面及眶下
Patients Guo × ×, female, 42 years old, nurse. Facial pain due to the left three days to stomatology treatment. History of patients asked a year ago had a similar history of swelling and pain in the hospital had been diagnosed with 8 pericoronitis complicated with gap infection, given high-dose antibiotic treatment, removal of impacted teeth 8 after improvement of symptoms. However, a few months after the interval is still similar to the history of swelling and pain, and then remove the 67 molar, has repeatedly swelling and pain, each penicillin daily 1.6 million iu intramuscular swelling subsided. Stomatological examination: the left mandibular and parotid gland swelling significantly, no tenderness, submandibular lymph nodes without swelling, ipsilateral facial and infraorbital