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患儿,男,7个月。因左颌下逐渐肿胀,呼吸困难1周,诊为“左颌下蜂窝织炎”收入院。检查:T39.5℃,P160次/分,R40次/分,急性热病容,鼻翼扇动,肿胀以左颌下为中心,皮肤及颏部、左面部、颞部及左枕部,且向颈部延伸,触压呈凹陷性水肿,左颌下皮肤红,波动(+),口底粘膜肿胀,舌体抬高,三凹征(+),心率160次/分。化验:白细胞34.5×10~9/L,中毒颗粒20％。立即行左颌下切开排脓,排出脓汁约10ml,呼吸困难仍不缓解,于第2天行胸锁乳突肌前缘切口,
Children, male, 7 months. Because of the gradual swelling of the left submandibular, dyspnea for 1 week, diagnosed as “left submandibular cellulitis” income hospital. Check: T39.5 ℃, P160 beats / min, R40 beats / min, acute fever, nose flap, swollen to the left submandibular center, skin and chin, left facial, temporal and left occipital, and neck Department extended, depression was edema depression, left lower extremity skin redness, fluctuations (+), mouth mucosal swelling, tongue elevation, three concave sign (+), heart rate 160 beats / min. Laboratory tests: white blood cells 34.5 × 10 ~ 9 / L, toxic particles 20%. Immediately under the left mandibular incision drainage, discharge pus about 10ml, dyspnea still not be relieved, in the first 2 days sternocleidomastoid anterior incision,