患儿 ,女 ,312 ｍ ,发热 ,右颌下肿胀 2ｄ ,于 1999年 8月2 3日入院。入院前静点双黄连、青霉素、氯苄青霉素 1ｄ。患儿持续发热 ,最高体温 39.4℃。入院后查体 :急性热病容 ,无皮疹 ,右颌下弥漫性肿胀 ,可触及 2× 3ｃｍ大之肿块 ,质软、固定、边界欠清 ;双肺呼吸音粗 ,心率 1 Children, women, 312 m, fever, right mandibular swelling 2d, on August 23, 1999 admission. Pre-hospitalization Shuanghuanglian, penicillin, benzyl penicillin 1d. Children with persistent fever, the maximum temperature of 39.4 ℃. After admission, physical examination: acute fever, no rash, diffuse swelling under the right submandibular, palpable 2 × 3cm large mass, soft, fixed, lack of border; lung breath sounds rough, heart rate 1