论文部分内容阅读
患者魏×,男,49岁,信贷员。因右侧下颌8(?)痛半月余,经多方治疗无效,在基层医院诊断为龋齿,拔牙后出现右下颌明显肿胀疼痛,低热,经抗炎、止痛等中西结合治疗二月余无效,且病情愈重,张口困难不能进食(仅能进少许流计),当地医院诊断为“口腔癌”,经化疗无效。来我院求治。 体查:T37.2℃,P80次/分,BP13/8KPa,呈恶病质。血常规:Hb70g/L,WBC10.5×10~9/L,N75％。口腔检查:张口困难(约1.5cm),恶臭,被动张口(用开口器撑开)见右下口腔腮腺管附近粘膜溃烂呈菜花状,约2.5cm×1.5cm,形状不规则,无假膜被覆,基底部有几枝小肉芽生长,质软,易接触出血,(?)|缺失,局部牙龈充血轻度水肿,同侧下颌部明显肿胀,局部无发红充血,下颌下可见质硬,活动差之一胡桃
Patient Wei ×, male, 49 years old, loan officer. Due to the right mandibular 8 (?) Pain for more than a month, after multi-treatment ineffective diagnosis of caries in primary hospitals, right mandibular obvious swelling pain after extraction, low fever, anti-inflammatory, analgesic and other Chinese and Western treatment of February invalid, and More serious illness, mouth can not be difficult to eat (only a small amount of flow), the local hospital diagnosed as “oral cancer”, the chemotherapy was ineffective. Come to our hospital for treatment. Physical examination: T37.2 ℃, P80 beats / min, BP13 / 8KPa, was cachexia. Blood: Hb70g / L, WBC10.5 × 10 ~ 9 / L, N75%. Oral examination: mouth opening difficulties (about 1.5cm), stench, passive mouth (opened with a mouth opener) see the right lower parotid duct mucosal ulceration was cauliflower-like, about 2.5cm × 1.5cm, irregular shape, no pseudomembrane coating , The Ministry of the Ministry of a few small granulation growth, soft, easy to contact with bleeding, (?) | Defects, local gingival congestion mild edema, ipsilateral mandibular obvious swelling, local redness hyperemia, can be seen under the mandibular hard, activity One of the poor walnuts