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患者王××,女,18岁,工人。因(?)残根而行手术拔除,术前行两处阻滞麻醉点:舌侧腭大孔注射2％普鲁卡因0.5ml,上颌结节阻滞麻醉:进针从(?)后上方并颊沟入自上唇内方向沿骨壁刺入抵上颌结节,因抽有回血,将针稍为退外拔改变位置,再同方向进针抽无回血即注入2％普鲁卡因1.5ml。当针拔出后即发现上颌结节处迅速肿胀,局部触之有捻发音。剥离(?)牙龈无痛觉,顺利拔除(?),碘纺棉球填塞拔牙创。术后约10min肿胀扩展至右眶下面颊部,病人自觉有肿胀压迫感,即
Patient Wang × ×, female, 18 years old, worker. Surgical removal due to (?) Residual roots, preoperative two block anesthesia point: large lingual palatal injection of 2% procaine 0.5ml, maxillary nodules block anesthesia: needle after (?) Cheek ditch into the upper lip along the direction along the inner wall of the bone piercing the maxillary nodules, due to pumping back to the blood, the needle slightly withdrawn to change the position, then the same direction into the needle pumping blood that is injected into the 2% procaine 1.5 ml. When the needle is pulled out immediately after the discovery of maxillofacial tubercle swelling, local touch of a twist pronunciation. Peeling (?) Gum painless, smooth removal (?), Toothed Iodized cotton tamponade. About 10min after swelling extended to the right cheek below the orbit, the patient consciously have a sense of swelling pressure, that is