颈深部感染在口腔颌面外科并非少见,若未能及时和有效的处理,则可并发颈部大血管糜烂,形成假性动脉瘤,发生致命性大出血。因颌颈部感染引起颈动脉假性动脉瘤的病例较为罕见且危险。故将我科于1984年收治1例报告如下: 患者白××,女,62岁。因左颌颈部肿痛20多天,加重5天于1984年9月7日入院。入院前曾在当地医院间断性进行青、链霉素治疗,但未见好转。检查:体温36℃,脉搏0次,血压14.7/8kpa,神志清楚,检查合作,营养发育良好,急性病容,痛苦表情,精神倦怠,心肺无异常,肝脾未扪及。颌面外科情况。左颌下及颈动脉三角区明显肿胀皮肤充血,压痛显著,有凹陷性水肿,颈活动受限,张口度正常,舌下口底组织无肿胀。咽腔两侧对称,(?)缺失,诊断性穿刺在红肿最明显处,进针2.5cm时抽出稠脓8ml。血液化验:血色素119g/L,白细胞7.9×10~9/L,中 Cervical deep infection in oral and maxillofacial surgery is not uncommon, if not timely and effective treatment, can be complicated by cervical erosion of the great vessels, the formation of pseudoaneurysm, the occurrence of fatal bleeding. Cases of carotid pseudoaneurysm caused by neck and neck infections are rare and dangerous. Therefore, my department was admitted to a report in 1984 as follows: White × ×, female, 62 years old. Due to neck pain more than 20 days, aggravating five days in September 7, 1984 admission. Before admission to the hospital in the intermittent cyanosis, streptomycin treatment, but did not improve. Check: temperature 36 ℃, pulse 0 times, blood pressure 14.7 / 8kpa, conscious, check the cooperation, good nutrition and development, acute illness, painful expression, mental fatigue, no abnormal heart and lung, liver and spleen not palpable. Maxillofacial surgery. Submandibular and carotid triangle obvious swelling of the skin hyperemia, tenderness significantly, with depression edema, cervical activity is limited, mouth opening normal, no swelling of the tongue floor of the bottom of the organization. Sympathetic sides of the pharynx, (?) Deletion, diagnostic puncture in the most obvious at the swelling, the needle out of 2.5cm thick pus 8ml. Blood tests: hemoglobin 119g / L, white blood cells 7.9 × 10 ~ 9 / L, in