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李X,男、45岁,右侧下颌磨牙疼痛四天就诊,查:7合面深龋,探痛(+),叩痛(+),双侧扁挑腺Ⅱ°肿大,颌下有三个肿大的淋巴结,活动,有压痛。诊断为很尖脓肿合并急性扁桃腺炎。处理:2％利多卡因下颌阻滞麻醉下7开髓拔髓,有少量血性脓液流出,丁香油安抚,给红霉素+强的松+止痛片。李X随即到江湖医生处拔除7,术后未用任何药物,当晚出现发烧,第二天口内有腐败臭味,第三天住院。WBC:3600/mm~3,N:82％,L:18％,血沉:41mm/h,拍片:右侧7区有一5cm不规则阴影,边界不清。用庆大霉素、
Li X, male, 45 years old, the right lower jaw molar pain four days treatment, check: 7 deep caries face, pain (+), percussion pain (+), A swollen lymph nodes, activity, tenderness. Diagnosis was very sharp abscess with acute tonsillitis. Treatment: 2% lidocaine mandibular block anesthesia under the seven open pulp, a small amount of bloody pus outflow, clove oil to appease, to erythromycin + prednisone + painkillers. Lee X then to the rivers and lakes doctors pull 7, no drugs after surgery, fever the night, the next day there is a stink smell in the mouth, the third day of hospitalization. WBC: 3600 / mm ~ 3, N: 82%, L: 18%, erythrocyte sedimentation rate: 41mm / h, filming: the right 7 area has a 5cm irregular shadows, the border is unclear. With gentamicin,