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患者男,30岁。近二年来经常咽痛,吞咽时疼痛加重。当地医院诊断为“扁桃体炎”,给予肌注青霉素80万单位,每天2次,无效。用庆大霉素和红霉素加入10％葡萄糖中静脉滴注可使疼痛缓解,但停药后咽痛即加重。曾被其医院拟为“扁桃体癌”(未做病理检查),给予相应药物治疗2月,疗效不佳。来我院前2月咽痛逐渐加重”,不能进食,伴有午后低热。检查:患者精神萎靡,形体消瘦,双侧扁桃体肿大Ⅱ°,表面覆有一层豆渣样物,易擦去而不出血。扁桃体暗红色充血,表面凹凸不平,隐窝口粘连。触之较硬,和周围组织粘连较紧。
Male patient, 30 years old. Over the past two years often sore throat, swallowing pain worse. The local hospital diagnosed as “tonsillitis”, giving intramuscular penicillin 800,000 units, 2 times a day, invalid. With gentamicin and erythromycin added 10% glucose intravenous infusion can ease the pain, but after stopping sore throat that aggravate. Had its hospital to be “tonsil cancer” (not pathological examination), given the corresponding drug treatment in February, poor efficacy. Come to our hospital in February before the sore throat aggravating ", can not eat, accompanied by afternoon low fever. Check: patients with apathetic, body weight loss, bilateral tonsil enlargement Ⅱ °, the surface covered with a layer of bean dregs sample, easy to erase instead Bleeding. Tonsil dark red congestion, uneven surface, recess mouth adhesions. Touching harder, and the surrounding tissue adhesion tight.