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患者男性,44岁,农民。以“左上牙龈部肿块一年半”之主诉于1 989年8月7日收入院。患者一年半前觉左上颌后牙疼痛,继之1678松动、脱落,未予注意,随后感左上后牙区食热食时疼痛,并感同侧鼻孔通气不良,才发现左上后牙区有一核桃大小之肿物,在当地医院抗炎治疗无效,随来我科就诊。体查:患者发育良好,精神差,心、肺、腹、神经系统(一)。专科检查见:面部左右不对称,左颊部膨隆,口内牙列正中咬合,678缺失,5Ⅱ℃松动,左侧后牙区有一4.0×4.0×
Patient male, 44 years old, farmer. He was admitted to the hospital on August 7, 1989 with the chief complaint of “a lump in the upper left gums for one and a half years.” One and a half years ago, the patient felt pain in the left maxillary posterior teeth, followed by loosening and shedding of 1678. She did not pay attention. She then felt pain in the left upper posterior area during hot food, and felt poor ventilation in the same side of the nostrils. Only the left upper posterior area was found. The size of the walnut mass was not effective in the local hospital’s anti-inflammatory treatment. Physical examination: The patient developed well, his spirit was poor, and his heart, lungs, abdomen and nervous system (1). Specialist examination: left and right face asymmetry, left cheek bulging, mouth occlusal median occlusal, 678 missing, 5II °C loose, left posterior area has a 4.0 × 4.0 × × × ×