口底蜂窝织炎是颌面部最严重的感染之一。同时波及颌下颏下及舌下间隙的感染,可以是化脓性的,也可以是腐败坏死性的。易发生严重的并发症,危及病人的生命。我院口腔科11—06—07收治一例,现报告如下。患者:男,3岁,足月,顺产,第一胎。因感冒,发热,咳嗽伴左颌下、口底肿胀7天,自家口服安乃近,四环素,肌注安痛定,无效。左颌下肿胀加重,张口受限,肿胀达颈上部,口底肿胀使舌体抬高,影响呼吸、饮食及有全身症状。于11—06—07来我院就诊,以“口底蜂窝织炎”入院。查体:体温3℃,脉搏158次/分,呼吸30次/分,发育正常,营养欠佳,呈急重病容。表情淡漠,嗜睡状态,胸腹及双下肢皮肤出现散在的针尖大小的瘀血点。口唇轻度发绀。听诊:右侧肺部可闻及干性罗音,心音纯、律整,心率158次/分,腹部压(一)。颌面部检查:两侧颌下、颏下弥散性肿胀,皮色暗红,发亮,压痛明显,凹陷性水肿,无波动 Oral cellulitis is one of the most serious infections in maxillofacial region. At the same time affecting the submental submental and sublingual infections, can be suppurative, it can be corrupt necrotizing. Prone to serious complications, endangering the patient's life. Hospital of Stomatology 11-06-07 admitted to a case, are as follows. Patient: Male, 3 years old, term, spontaneous, first child. Due to a cold, fever, cough with the left mandibular, swollen mouth mouth for 7 days, their homeopathol, tetracycline, intramuscular analgesic, ineffective. Left submandibular swelling increased, limited mouth, swelling up to the neck, swollen mouth mouth tongue elevation, affecting breathing, diet and systemic symptoms. In 11-06-07 to our hospital, with “mouth cellulitis” admission. Physical examination: body temperature 3 ℃, pulse 158 beats / min, breathing 30 beats / min, normal development, poor nutrition, severe acute and severe disease. Indifference, drowsiness, chest and abdomen and lower extremity skin scattered spot size of the stasis point. Mild cyanosis lips. Auscultation: The right lung can be heard and dry rales, pure heart sound, law, heart rate 158 beats / min, abdominal pressure (a). Maxillofacial examination: submandibular, submental disseminated swelling, dark red skin, shiny, tenderness, depression, edema, no fluctuations