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患者付××,男,36岁,工人。主诉:左面部肿胀伴牙关紧闭18天。现病史:自1984年1月25日开始,左面部开始肿胀伴开口困难,不能进食,自感微热头痛,其他无不适。曾在外院治疗4次,诊断为“8冠周炎”。先后肌注,静滴庆大霉素均无效。体检:系统检查无明显异常,皮肤无出血点,无鼻衄等。口腔科检查:左下颌角处软组织明显肿胀,但皮肤表面色泽正常,无红、热,无明显波动感,无凹陷性水肿,质稍硬,触痛明显,左颌下未触及肿大之淋巴结。牙关紧闭,开口度0.3cm。全口牙龈无肿胀、增生、出血等。口腔粘膜无溃疡、糜烂、瘀斑等。牙齿无松动。
Patients pay × ×, male, 36 years old, workers. Chief Complaint: Swelling of the left face with closed jaw for 18 days. Current medical history: Since January 25, 1984 began, the left side of the swelling began with the opening difficulties, can not eat, since the fever slightly headache, the other without discomfort. Had treated 4 times outside the hospital, diagnosed as “8 pericoronitis.” Has intramuscular injection, intravenous gentamicin are invalid. Physical examination: no obvious abnormalities in the system examination, no bleeding on the skin, no nasal obstruction and so on. Stomatological examination: the left mandibular angle at the soft tissue swelling, but the normal color of the skin surface, no red, hot, no significant fluctuations, no pitting edema, slightly stiff, tenderness, no swelling of the left submandibular lymph nodes . Tight shut, opening 0.3cm. No mouth full of gum swelling, hyperplasia, bleeding and so on. Oral mucosa without ulcers, erosion, ecchymosis and so on. No loose teeth.