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患者女性,9岁,病案号,426609,患儿自出生后即发现左颈前中部胸锁乳突肌前缘中点有一黄豆粒大水泡,数日后自行破溃流出米汤样稀薄液体数滴,此后局部反复有液体外溢,每日数滴至10几滴不等,平时瘘管口呈湿润状态,与进食无关,无红肿及疼痛。经久不愈。曾在外院作过冰冻及外敷中药治疗无效,查体:左侧胸锁乳突肌前缘中点有一瘘管,可挤
The patient was female, 9 years old, medical record number, 426609. After birth, the child found a large yellow blisters on the midpoint of the anterior border of the sternocleidomastoid muscle in the middle of the left middle of the neck. After a few days, she spontaneously ruptured several drops of rice soup-like thin liquid. Since then, there have been repeated fluid spills, ranging from a few drops per day to a few drops, and the sputum is usually moist and unrelated to eating. There is no swelling and pain. Prolonged healing. Have been in the external hospital for frozen and external application of traditional Chinese medicine treatment, physical examination: the left side of the sternocleidomastoid midline has a fistula, can be squeezed