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病人男 57岁医生主诉口腔右颊粘膜肿痛4月余。在院外口腔医院取活检证实为右颊粘膜结核,摄胸片发现双上浸润型肺结核。检查:口腔右颊部可见1.5×2cm大小肿块,充血,表面不光滑,有触痛。咽部充血,双肺未闻及干、湿罗音,心率84次,腹软无压痛,肝、脾未触及。既往无药物过敏史。痰涂片未见抗酸杆菌。诊断双上浸润型肺结核进展期伴右颊粘膜结核,痰涂片(-)。用3HRZE/6HR方案治疗。用药半月时,病人诉全身搔痒、头晕、纳
Male 57-year-old doctor complained oral buccal mucosal swelling and pain more than 4 months. In the hospital outpatient clinics to take biopsy confirmed right buccal mucosal tuberculosis, chest X-ray double invasive wet tuberculosis. Check: the right cheek visible oral cavity size 1.5 × 2cm, congestion, the surface is not smooth, tenderness. Pharyngeal hyperemia, lungs unheard and dry, wet rales, heart rate 84 times, soft abdominal tenderness, liver, spleen not touched. Past history of drug allergy. Sputum smear no acid-fast bacilli. Diagnosis of double-invasive pulmonary tuberculosis progressed with right buccal mucosal tuberculosis, sputum smear (-). Treatment with 3HRZE / 6HR regimen. Half a month medication, the patient complained of systemic itching, dizziness, satisfied