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鳃裂囊肿属于鳃裂畸形之一。临床上以第二鳃囊裂肿多见,而第一鳃裂瘘极为少见。今诊治一例,报告如下。 段××,女,一岁。左颌后区无痛性肿块渐大伴流脓三月而要求住院治疗。三月前左颌后区可触及肿块花生米大,不痛,在大队卫生室诊为“淋巴结炎”,应用“庆大霉素”等药,包块不缩小,反而逐渐增大。二月后见左耳流脓。在乡医院诊为“脓肿”行切开引流术,切开后见脓液中有豆渣样物流出,继续应用抗菌素,并清洁换药数次,月余,切口不愈合。 检查:发育营养良好,肥胖。体温正常,二便血常规检查正常,胸透、听诊心、肺无异常发现。左颌后区,相当于下颌角水平,可见皮肤瘘管口,挤压之有脓血溢出,探诊深2.5cm,触诊可及肿块
Gill cleft cyst is one of the cleft gills. Clinically, the second gill capsule rupture more common, and the first branchial fissure is extremely rare. A case of diagnosis and treatment, the report is as follows. Section × ×, female, one year old. Left anterior parietal painless mass enlargement with pus in March and require hospitalization. Left anterior posterior area of palpable mass peanuts can be large in March, no pain. In the clinic of brigade, there is “lymphadenitis”. The application of “gentamicin” and other drugs does not shrink, but gradually increases. See left ear pus after February. In the township hospital diagnosed as “abscess” line incision and drainage, after cutting see the residue in the pus effluent, continue to use antibiotics, and cleaning dressing several times, more than a month, not incision healing. Check: well-developed nutrition, obesity. Normal body temperature, two stool routine examination, chest X-ray, auscultation heart, lung no abnormal findings. Left posterior region, the equivalent of mandibular angle level, showing the fistula of the skin, squeezing the overflow of sepsis, probing deep 2.5cm, palpation and mass