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患者男,45岁,左下后牙痛3ｄ就诊。检查:46远中邻牙合面深龋,已穿髓,探(-),冷热(-),叩(),松动Ⅰ度。诊断:46急性尖周炎。处理:46去龋,揭髓室顶,根管预备,隔湿干燥根管,暂封甲醛甲酚棉球。次日来诉:口唇麻木,手掌、足底、阴囊搔痒难忍。检查:46暂封完好,叩(+),口唇无肿胀,触诊正
Male patient, 45 years old, left lower back toothache 3d treatment. Check: 46 near the adjacent teeth occlusal deep caries, has been through pulp, exploration (-), hot and cold (-), knocking (), loosening degree. Diagnosis: 46 acute periapical inflammation. Treatment: 46 to caries, medullary compartment, root canal preparation, moisture dry root canal, tentatively closed formaldehyde cresol cotton ball. The next day to v.: Lips numbness, palms, soles, scrotum itch unbearable. Check: 46 temporarily closed intact, knock (+), no swelling of the lips, palpation positive