患者 ,男 ,5 4岁 ,既往有十二指肠球部溃疡病史十余年 ,先后间断服用西咪替丁、法莫替丁、庆大霉素、阿莫西林等药物。2 0 0 2年 4月改用奥美拉唑 ,每次 2 0mg ,每日 1次。用药第 6天出现牙痛来诊 ,查体见右下磨牙处牙龈红肿 ,未见脓迹附着 ,给予消炎、止痛等处理 ,治疗 3天无 Patient, male, 54 years old with a history of more than ten years with a history of duodenal ulcer, discontinued taking cimetidine, famotidine, gentamicin, amoxicillin and other drugs intermittently. 2 0 0 2 in April switched to omeprazole, each 20mg, 1 times daily. The first 6 days of treatment toothache, check the body see the gums at the right lower extremity swelling, no traces of attached to the abscess, giving anti-inflammatory, analgesic and other treatment, the treatment of 3 days without