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李×,女,1个月。因反复发热,哭闹、拒食十余天于1992年4月19日来我科就诊。患儿足月顺产,第一胎。父母非近亲结婚。家族史中无异常发育情况。患儿于生后发现下颌有两颗牙。十余天后出现哭闹、拒食。反复发热达38℃。查体:体温38.5℃,发育良好,口腔颌面部检查无异常,舌活动正常。下颌牙槽嵴2/2偏舌侧生长两颗牙。切缘锐利,形态正常,可活动。相应舌底部粘膜可见10×10mm大小溃疡面。表面被覆一层淡黄色纤维膜。周围明显红晕,触硬。疑为感染病灶。诊断:下颌诞生牙,舌底创伤性溃疡。
Lee ×, female, 1 month. Due to repeated fever, crying, antifeedant ten days in April 19, 1992 to our department. Full-term children with childbirth, the first child. Parents marry non-relatives. No abnormal family history of development. Children found in the jaw after the two teeth. More than ten days after crying, refused to eat. Repeated fever up to 38 ℃. Physical examination: body temperature 38.5 ℃, well-developed, no abnormal oral and maxillofacial examination, tongue activity was normal. Mandibular alveolar ridge 2/2 lingual side grow two teeth. Cutting edge sharp, normal shape, activity. The corresponding tongue bottom mucosa visible 10 × 10mm size ulcer surface. The surface is covered with a light yellow fiber membrane. Clearly around the flush, touch hard. Suspected infection. Diagnosis: birth of mandible, tongue traumatic ulcer.