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患者苏×,女,21岁,病案号:24143。因(?)牙髓部分坏疽行去髓术。未行局麻下取出根管内残髓组织,而以3%过氧化氢液冲洗根管。冲洗刚注入0.5ml 药液时,患者即感(?)根尖区有短暂刺痛,即停冲洗,刺痛亦即刻消失。随即出现右侧鼻唇沟明显隆起,相应前庭沟变浅。肿胀区无触痛但有捻发音。(?)X 线检查未见根管、根尖及根周异常。根据上述症状和体症,诊为右侧鼻唇沟皮下气肿。当天行根管开
Su su ×, female, 21 years old, medical record number: 24143. Due to (?) Pulp gangrene line to the pulp surgery. Without local anesthesia remove the root canal within the residual pulp tissue, and 3% hydrogen peroxide solution to wash the root canal. Flush just injected 0.5ml liquid, the patient that sense (?) Apical short-tingling, stop washing, tingling immediately disappear. Immediately appeared on the right nasolabial fold significant uplift, the corresponding shallow vestibular groove. Swelling area without tenderness, but there is a twist pronunciation. (?) X-ray examination no root canal, apical and root abnormalities. According to the above symptoms and physical illness, diagnosed as subcutaneous emphysema on the right nasolabial fold. Day root canal open