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例1女,60岁。1998年9月5日首次就诊,自述吞咽后咽部异物存留感6天,无明显疼痛,曾口服利君沙、先锋霉素Ⅳ号等抗生素无效,且症状逐渐加重。检查见软腭、颊粘膜、咽后壁、扁桃体及舌表面均有灰白色伪膜样物附着于粘膜表面呈片状,间接喉镜检查见舌根及下咽粘膜也有同样病变,喉正常。不被伪膜覆盖处的粘膜呈红色,擦去伪膜可见其下面病损粘膜为鲜红色糜烂面,并见少许出血。考虑不除外真菌感染,故给予抗真菌药斯皮仁诺胶囊口服,200mg日二次,同时口服维生素C 0.2g日三次,1.5%双氧水漱口。并做细菌培养。3天后复查时症状明
Example 1 Female, 60 years old. September 5, 1998 for the first time, after swallowing pharyngeal foreign body retention 6 days, no obvious pain, had oral Lijun Sha, cephalosporin IV antibiotics such as invalid, and the symptoms gradually aggravated. Check see the soft palate, buccal mucosa, posterior pharyngeal wall, tonsils and tongue surface are gray pseudomembranous sample attached to the mucosal surface was flaky, indirect laryngoscopy see tongue base and pharyngeal mucosa also have the same lesion, laryngeal normal. Mucous membrane is not covered by the pseudomembranous red, wipe off the pseudomembranous lesions visible below the mucosa is bright red erosion surface, and see a little bleeding. Consider not excluding fungal infections, it is given anti-fungal Sporanox capsules orally, 200mg twice a day, while oral vitamin C 0.2g three times a day, 1.5% hydrogen peroxide mouthwash. And do bacterial culture. 3 days after the review symptoms