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一、临床资料本组4例均为男性。年龄最大65岁,最小25岁,其中军人3名,退休工人1名。病期从10天到半年不等。发病部位:舌体部1例,右颌下部1例,右腮腺区1例,(?)冠周炎合并颌下间隙感染1例。二、诊断和鉴别诊断颌面部放线菌病诊断主要依据病史和特有的临床表现及脓液中“硫磺颗粒”的检查。本病最初表现主要是局部硬结,以后沿粘膜下或皮下扩散,形成紫红色结节,继而破溃,流脓,形成瘘管,不易治愈。本组4例中无1例是早期确诊的。我们认为应与下列疾病进行鉴别诊断:1、拔牙后的反应性肿胀或继发一
First, the clinical data of 4 patients in this group are men. The oldest is 65 years old and the youngest is 25 years old, including 3 soldiers and 1 retired worker. Illness from 10 days to six months. The incidence of parts: 1 cases of tongue body, 1 case of the lower right jaw, right parotid gland area in 1 case, (?) Pericoronitis with submandibular space infection in 1 case. Second, the diagnosis and differential diagnosis Maxillofacial actinomycosis diagnosis based primarily on history and unique clinical manifestations and pus in the “sulfur particles” check. The initial manifestation of this disease is mainly local induration, submucosal or subcutaneous diffusion after the formation of purple nodules, and then rupture, pus, fistula formation, not easy to cure. None of the 4 patients in this group was diagnosed early. We believe that the differential diagnosis should be with the following diseases: 1, post-extraction reactive swelling or secondary one