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李某,男,25岁,患冠周炎4d。病前2天出现牙痛,未用药物治疗,牙痛加重,来院就诊,发现患者_8T近中阻生、牙龈红肿、充血,右下颌部位肿胀。盲袋溢浓,张口轻度受限,患者不想进食,体温不高。诊断:_8T冠周炎,给予口服甲硝唑0.2g一日二次,静脉点滴5％葡萄糖盐水200ml,先锋霉素Ⅵ1.0g,用药第四天后,症状不见好转,改用先锋霉素Ⅵ局部注射,仅用一次,牙痛症状缓解,晚间能进食,第五日痊愈,至今随访,未见复发。 局部注射方法:将配制好的先锋霉素Ⅵ溶液给患者做皮试,无过敏者,可选用此法。
Lee, male, 25 years old, suffering from pericoronitis 4d. 2 days before the onset of toothache, without medication, toothache aggravating, to the hospital for treatment, found that patients with _8T near obstruction, swollen gums, congestion, swollen right mandibular area. Blind bag overflow thick, mouth slightly limited, patients do not want to eat, body temperature is not high. Diagnosis: _8T pericoronitis, given oral metronidazole 0.2g twice a day, intravenous drip of 5% dextrose saline 200ml, cephalosporin Ⅵ1.0g, the fourth day after treatment, the symptoms did not improve, switch to the use of cephalosporin Ⅵ partial Injections, only once, toothache symptoms ease, eat at night, the fifth day of recovery, so far, no recurrence. Local injection method: the preparation of a good cephalosporin Ⅵ solution to patients with skin test, no allergies, this method can be used.