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口腔颌面部间隙感染的麻醉管理

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摘要 1 患者资料患者,男, 64岁,身高167 cm,体质量75 kg,主因“颏下口底肿胀3 d”入院。患者3 d前自觉喉部疼痛不适,之后出现颏下肿胀,1 d前颏下肿胀突然加重,于当地医院治疗后效果不明显,为进一步治疗遂就诊于空军军医大学第三附属医院。既往史:糖尿病病史8年,行餐前胰岛素治疗,血糖控制在空腹约6 mmol/L,餐后约10 mmol/L;血小板减少性紫癜病史1年,血小板最低约20×10^9 /L,开始予以醋酸泼尼松60 mg/d治疗,目前口服醋酸泼尼松片 40 mg/d 及氨肽素片治疗;带状疱疹2月,口服阿昔洛韦片、局部应用阿昔洛韦软膏治疗;否认高血压、心脏病史。吸烟史10余年,平均20支/d,已戒烟1年。
出处 《麻醉安全与质控》 2019年第2期97-100,共4页 Perioperative Safety and Quality Assurance
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