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李某,男,58岁。门诊号0758508,住院号9725。因右舌颌颈联合根治术放疗需要,由颌面外科转来要求行18干髓术并截冠。在局麻下开髓,砷剂暂封2日,失活牙髓后,磨除3/4牙冠,根管口盖干髓剂,磷酸锌水门汀垫底,银汞合仝充填,完成干髓术。术后约5h患者侧颌面部出肿胀,3d后,肿胀已波及右上,下眼睑,上、下唇及右颈部。水肿部皮肤红、热,光亮有弹性,触痛不明显,搔痒明显,可见抓痕。用10％葡萄糖酸钙10ml加入10％葡萄糖液500ml中静滴。24h水肿及搔痒完全消退。去除18补物,用3％过氧化氢液及
Lee, male, 58 years old. Outpatient number 0758508, hospital number 9725. Due to the right tongue and neck radical mastectomy radiotherapy needs, transferred from the maxillofacial surgery required 18 dry myotomy and truncated crown. Acupuncture in the local anesthesia, arsenic temporarily closed on the 2nd, the inactivation of dental pulp, the removal of 3/4 crown, root canal cover dry pulp, zinc phosphate cement bottom, filled with silver and mercury contract to complete the dry pulp Surgery. About 5h after operation, the maxillofacial and maxillofacial region was swollen. After 3 days, the swollen area affected the upper right and lower eyelids, upper and lower lip, and right neck. Edema Department of skin red, hot, bright and elastic, tenderness is not obvious, itching obvious, visible scratches. With 10% calcium gluconate 10ml 10% glucose solution 500ml intravenous infusion. 24h edema and itching completely subsided. Remove 18 supplements, with 3% hydrogen peroxide solution