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患者王××,女,46岁。发现右舌下深部有一肿物达六年之久,于该肿物的前上方反复肿胀伴流脓一年半。否认颌下肿胀史。检查:右舌下肿胀明显,且将舌体抬高,相当于该侧颌下腺导管开口处有一瘘道,有脓外溢。又于该侧舌根前方深部触及约3×2厘米之肿物,质硬、可移动、触痛(±)。颌下触诊未见异常。脓汁培养,发现白色葡萄球菌,对新青霉素Ⅱ高度敏感;对红霉素、庆大霉素、卡那霉素中度敏感。应用抗菌素治疗3周余,炎症基本控制。此后在局部麻醉下行舌下
Patient Wang × ×, female, 46 years old. Found a deep tumor in the right tongue for six years, repeated swelling in the top of the tumor with pus for a year and a half. Denied the history of submandibular swelling. Check: Right sublingual swelling is obvious, and the tongue elevation, the equivalent of the side of the submandibular duct opening a fistula, there is overflow of the spleen. And in the side of the tongue in front of deep touch about 3 × 2 cm of the tumor, hard, removable, tenderness (±). Submandibular palpation no abnormalities. Pus culture and found that Staphylococcus aureus, new penicillin Ⅱ highly sensitive to erythromycin, gentamicin, kanamycin moderate sensitivity. Application of antibiotics for more than 3 weeks, the basic control of inflammation. Sublingual was then performed under local anesthesia