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口腔黏膜疾病一般可分为几大类:溃疡类疾病;斑纹类疾病;感染性疾病;大疱类疾病;变态反应性疾病。口腔黏膜感染性疾病常见的有疱疹性口炎,手足口病,带状疱疹等。其中口腔念珠菌病分为:(1)念珠菌性口炎:①急性伪膜型:鹅口疮,雪口病;②急性红斑型:抗生素口炎;③慢性肥厚型:增殖型;④慢性红斑型:义齿性口炎。念珠菌性唇炎、念珠菌性口角炎:双侧、慢性粘膜皮肤念珠菌病(CMCC)。常用药物有:病毒感染:阿昔洛韦,更昔洛韦,泛昔洛韦,利巴韦林;板蓝根,清开灵,双黄连。细菌感染:青霉素类,头孢类。真菌感染:制霉菌素、氟康唑、伊曲康唑。原则:抗炎、止痛、防感染、促愈合。酌情酌量使用糖皮质激素。病程:急性/慢性。既往史:疱疹性/疱疹样、贫血、肝炎。用药史/治疗史:花椒,鱼腥草,波立维/泰嘉。检查:口腔,皮肤(疱?HFM?斑?)。依从性:用药方法。精神因素:抑郁、恐癌、恐艾。遗传史。
Oral mucosal diseases can be divided into several general categories: ulcer diseases; zebra-like diseases; infectious diseases; bullous diseases; allergic diseases. Oral mucosal infections are common herpetic stomatitis, hand, foot and mouth disease, shingles and so on. The oral candidiasis is divided into: (1) Candida stomatitis: ① acute pseudomembranous: thrush, mouth disease; ② acute erythema type: antibiotic stomatitis; ③ chronic hypertrophy: proliferative; ④ chronic erythema Type: denture stomatitis. Candida cheilitis, Candida angular cheilitis: bilateral, chronic mucocutaneous candidiasis (CMCC). Commonly used drugs are: viral infections: acyclovir, ganciclovir, famciclovir, ribavirin; Radix, Qing Kai Ling, Shuanghuanglian. Bacterial infections: penicillins, cephalosporins. Fungal infections: nystatin, fluconazole, itraconazole. Principles: anti-inflammatory, analgesic, anti-infection, and promote healing. Discretionary use of glucocorticoids. Course of disease: acute / chronic. Past history: herpetic / herpes-like, anemia, hepatitis. Medication history / treatment history: pepper, Houttuynia, Poli Wei / Tai Jia. Check: mouth, skin (blister? HFM spot?). Compliance: medication method. Mental factors: depression, fear of cancer, fear of AIDS. Genetic history.