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患者 女,48岁。主因上腹部疼痛、嗳气、反酸半年,于1992年8月18日来我院行纤维胃镜检查。术前常规用药,检查过程中患者精神紧张,用力憋气,并有严重干呕。胃镜插入及检查较顺利,约20分钟结束检查,诊断为十二指肠球部溃疡。术后患者自诉双侧颌部肿胀疼痛。查体:咽喉部无充血及粘膜损伤,舌腭弓未见血肿,左下颌可见8.0×5.0cm、右下颌可见5.0×3.0cm的皮下气肿区,均无压痛,余无异常。诊断:双侧颌下腺气肿。立即进行局部按摩,约15分钟后双侧气肿消失。观察30分钟无任何不适。
Female patient, 48 years old. Mainly due to pain in the upper abdomen, belching, acid reflux six months, in August 18, 1992 to my hospital fiber endoscopy. Preoperative routine medication, check the patient nervous, forced suffocation, and severe retching. Gastroscope insertion and examination more smoothly, about 20 minutes to end the examination, diagnosis of duodenal ulcer. Patients complained of bilateral jaw swelling and pain after surgery. Physical examination: There was no congestion and mucosal injury in the throat, no hematoma in the tongue and palatal arch, 8.0 × 5.0 cm in the left lower jaw, and 5.0 × 3.0 cm in the right lower jaw. There was no tenderness and no abnormality. Diagnosis: bilateral submandibular gland swelling. Immediate local massage, about 15 minutes after bilateral emphysema disappeared. Observe for 30 minutes without any discomfort.