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陈宗飞(阜阳市人民医院)报道一患者女,52岁,因右侧面部发作性疼痛而到口腔科就诊,服药无效而拨去一牙,但面部发作性疼痛仍不愈,于发病第10天到神经科就诊。体检未发现特殊阳性体征,诊断为三叉神经(上颌枝)痛,给予卡马西平治疗,每次200mg,每日3次,服药第2天症状控制,嘱其继续服用,以巩固疗效,剂量改为200 mg,每日2次。服至第5天上午,在未有任何精神刺激的情况下,出现发作性痛哭,一天4～5次,每次历时10～20分钟,并胸闷、委屈感,哭后才觉舒服。对发作情
Chen Zongfei (Fuyang People’s Hospital) reported a patient female, 52 years old, due to the right side of the facial pain and to stomatology treatment, taking a toothless invalid, but the facial pain is still unhealed, the onset of the first 10 days To neurology clinic. Physical examination found no specific positive signs, the diagnosis of trigeminal nerve (maxillary branch) pain, given carbamazepine treatment, each 200mg, 3 times a day, taking the first 2 days of symptom control, instruct it to continue taking, to consolidate the efficacy of dose change 200 mg twice daily. To the morning of the fifth day, in the absence of any mental stimulation, the onset of crying, 4 to 5 times a day, each lasted 10 to 20 minutes, and chest tightness, feeling of grievances, feel comfortable after crying. On the onset of love