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患者,女,40岁,因发热、前颈部疼痛4天到当地卫生院就诊,以“咽炎”给青霉素静注2天效不佳,左侧颈下略肿胀,疼痛向左侧耳后放射,出现心慌,略烦躁.查血示白细胞11×10~9/L,中粒0.82.再次以“咽炎并淋巴结炎”给先锋V号4.0静滴4天,无效.后液体内加入5mg地塞米松滴入,2小时后疼痛明显缓解,持续数小时后复疼痛如故.如此用抗生素加激素连续3天输液.患者每天均在输液中及输液后数小时疼痛缓解,而后又复疼痛.转来我院,查体见患者颈部肿胀以左侧为主,压痛明显,血
Patients, female, 40 years old, due to fever, pain in the anterior neck for 4 days to the local health clinic, “pharyngitis” to penicillin intravenous 2 day ineffective, left neck slightly swollen, pain to the left ear emission , Appeared flustered, slightly annoyed .Check blood showed white blood cells 11 × 10 ~ 9 / L, medium 0.82. Again “pharyngitis and lymphadenitis” Pioneer v 4.0 4.0 intravenous infusion for 4 days, after the fluid was added 5mg to plug Miscellin drops, 2 hours after the pain was relieved, continued painful recovery of pain after hours. So with antibiotics plus hormone for 3 days infusion. The patient every day in infusion and hours after the infusion of pain relief, and then pain again. Our hospital, physical examination, see the patient’s neck swelling mainly to the left, tenderness, blood