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患者,男,16岁。因头痛、发热3d入院。诉半年来,上颌前牙牙龈反复肿痛、溢脓伴高热。每受凉、疲劳,症状即加重,抗炎治疗后,症状减轻。无外伤史。3d来又有类似急性发作,于1992年3月80日急诊入院。检查:体温40℃,脉搏100次/min,呼吸30次/min,重病容。深覆合Ⅲ°,11、12唇侧牙龈窦道溢脓,周围粘膜充血、水肿。11、12牙龈变色,无龋坏,冷热诊无反应。11松动Ⅱ°,叩诊(?),腭侧龈呈“V”型退缩,12松动Ⅰ°叩诊(+),X线片11牙周膜明显增宽,
Patient, male, 16 years old. Due to headache, fever 3d admitted. For six months, the maxillary anterior teeth gingiva repeatedly swelling and pain, overflow pus with high fever. Each cold, fatigue, symptoms that aggravate, anti-inflammatory treatment, the symptoms alleviate. No history of trauma. 3d to have a similar acute attack, in March 1992, emergency room admission. Check: body temperature 40 ℃, pulse 100 beats / min, breathing 30 beats / min, seriously ill. Deep overlay Ⅲ °, 11,12 labial gingival sinus overflow pus, mucosal congestion around the edema. 11,12 gingival discoloration, no caries, no response to cold and heat treatment. 11 loosening Ⅱ °, percussion (?), Palatal gingival was “V” type of retraction, 12 loosening Ⅰ ° percussion (+), X-ray film 11 was significantly longer periodontal ligament,