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大爷挤了一颗痘 整张脸肿了还被连下2张病危通知书

2017-09-19 20:26:59   中国青年网

脸上长“痘子”,手贱挤一下,生活中很多人都有这样的习惯。你知道吗?脸上的“痘子”不是这么好惹的。

前不久,浙江一家医院就接诊了一个因挤脸部“痘子”,诱发颌面部多间隙感染,患处肿胀、化脓,危及生命的患者,为此,医生连下了两张病危通知书

 上嘴唇长了颗“痘”,有点痛

  50岁大伯用手一挤,结果嘴巴肿了

“患者姓张(化名),50岁,家住嘉兴,半个多月前急诊转到我们医院的,来的时候情况很凶险,整张脸基本上都是肿的,尤其是眼睑部、嘴巴,张口受限,已经不能自主呼吸,高热,有39.5℃。”医院口腔科副主任汪国华主任医师说。

进一步检查后,张先生的主管医生、医院口腔科主任刘建华主任医师发现,他的左侧口角肿胀、光亮,有个直径约1.5厘米的组织发黑,且有少量脓血性液体流出,便追问病史。

询问后,刘主任了解到,张先生患糖尿病多年,平时血糖控制的还可以。入院前几天,张先生发现自己左侧上嘴唇处长了颗“痘子”,开始他没在意。两天后,“痘子”逐渐长大,约米粒大小,有点痛,他觉得难受,就用手挤了一下,挤出一些白白的东西。

半小时后,张先生就发现自己挤过“痘子”的肿了,但因为身体没有其他不适感,也就没放心上。直到第二天下午,张先生发现整张嘴都肿了起来,且越肿越大,还出现头痛,浑身难受等症状,家人这次慌了神,立即把送往当地医院就诊。

“开始,当地医生也没查出具体的病因,只是对症处理,给他挂盐水。”汪医师说,然而,张先生的病情进展得远比大家预料的要快,并出现了高热、呼吸困难等症状,且血糖也高上去了。

当天晚上8点19分,张先生被转运到浙大一院。经检查,张先生被诊断为上唇疖肿并发左侧颌面部多间隙感染,一种若不及时处理会危及生命的口腔疾病。

 连下两张病危通知书

  抢救了五天,患者才脱离生命危险

尽快切开排脓是治疗间隙感染的主要方式,但由于张先生患有糖尿病,治疗难度大大增加。

“他在好几天没吃东西的情况下,随机空腹血糖竟然也达到了15.3(正常人在7.1以内),血酮体很高,有2个'+'。临床上,一个'+'就算严重,有发生酮症酸中毒(内科急症,有致命的危险)的风险。”汪国华医师说,“我们先后给他下了两张病危通知书。”

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