\u989e\u4e0b\u988c\u5173\u8282\u7d0a\u4e71\u7efc\u5408\u5f81
\u203b\u203b\u6982\u8ff0
\u989e\u4e0b\u988c\u5173\u8282\u7d0a\u4e71\u7efc\u5408\u75c7\uff08Temporo-mandibular Joint Dysfunction Syndrome\uff09?\u662f\u53e3\u8154\u988c\u9762\u90e8\u5e38\u89c1\u7684\u75be\u75c5\u4e4b\u4e00\u3002\u5728\u989e\u4e0b\u988c\u5173\u8282\u75be\u75c5\u4e2d\uff0c\u6b64\u75c5\u6700\u4e3a\u591a\u89c1\u3002\u597d\u53d1\u4e8e\u9752\u58ee\u5e74\uff0c\u4ee520\uff5e30\u5c81\u60a3\u75c5\u7387\u6700\u9ad8\u3002 <\/P>
\n
\u203b\u203b\u8bca\u65ad
\u6839\u636e\u75c5\u53f2\uff0c\u5b58\u5728\u4e0a\u8ff0\u4e3b\u8981\u75c7\u72b6\u8bca\u65ad\u989e\u4e0b\u988c\u5173\u8282\u7d0a\u4e71\u7efc\u5408\u5f81\u5e76\u4e0d\u56f0\u96be\u3002\u8f85\u52a9\u8bca\u65ad\u5e38\u7528\u7684\u65b9\u6cd5\u6709\uff1a\u2460X\u7ebf\u5e73\u7247\uff08\u5173\u8282\u859b\u6c0f\u4f4d\u548c\u9ac1\u72b6\u7a81\u7ecf\u54bd\u4fa7\u4f4d\uff09\uff0c\u53ef\u53d1\u73b0\u6709\u5173\u8282\u95f4\u9699\u6539\u53d8\u548c\u9aa8\u8d28\u6539\u53d8\uff0c\u5982\u786c\u5316\u3001\u9aa8\u7834\u574f\u548c\u589e\u751f\u3001\u56ca\u6837\u53d8\u7b49\u3002\u2461\u5173\u8282\u9020\u5f71\uff08\u4e0a\u8154\u9020\u5f71\u56e0\u64cd\u4f5c\u5bb9\u6613\u800c\u591a\u7528\u3001\u4e0b\u8154\u9020\u5f71\u56fd\u5185\u5e94\u7528\u8f83\u5c11\uff09\uff0c\u53ef\u53d1\u73b0\u5173\u8282\u76d8\u79fb\u4f4d\u3001\u7a7f\u5b54\u3001\u5173\u8282\u76d8\u8bf8\u9644\u7740\u7684\u6539\u53d8\u4ee5\u53ca\u8f6f\u9aa8\u9762\u7684\u53d8\u5316\u3002\u8fd1\u5e74\u6765\uff0c\u4e0d\u5c11\u5b66\u8005\u5e94\u7528\u5173\u8282\u5185\u7aa5\u955c\u68c0\u67e5\uff0c\u53ef\u53d1\u73b0\u672c\u75c5\u7684\u65e9\u671f\u6539\u53d8\uff0c\u5982\u5173\u8282\u76d8\u548c\u6ed1\u819c\u5145\u8840\u3001\u6e17\u8840\u3001\u7c98\u8fde\u4ee5\u53ca\u672a\u5206\u5316\u6210\u719f\u7684\u8f6f\u9aa8\u6837\u7ec4\u7ec7\u5f62\u6210\u7684\u201c\u5173\u8282\u9f20\u201d\u7b49\u3002\u7531\u4e8e\u672c\u75c5\u6709\u5f88\u591a\u7c7b\u578b\uff0c\u6cbb\u7597\u65b9\u6cd5\u5404\u5f02\u3002\u56e0\u6b64\uff0c\u5e94\u4f5c\u51fa\u5177\u4f53\u7c7b\u578b\u7684\u8bca\u65ad\u3002\u5982\u7ffc\u5916\u808c\u75c9\u631b\u3001\u53ef\u590d\u6027\u5173\u8282\u76d8\u79fb\u4f4d\u6216\u5173\u8282\u76d8\u7a7f\u4e5f\u7b49\u3002 <\/P>
\n
\u203b\u203b\u6cbb\u7597\u63aa\u65bd
\u5177\u4f53\u7684\u6cbb\u7597\u63aa\u65bd\u6709\uff1a <\/P>
\n
1\uff0e\u77eb\u6b63\u54ac\u5408\u5173\u7cfb\u7531\u53e3\u8154\u4e13\u79d1\u68c0\u67e5\u6cbb\u7597 <\/P>
\n
2\uff0e\u5c01\u95ed\u7597\u6cd5\u53ef\u75280.25\uff0d0.5\uff05\u666e\u9c81\u5361\u56e03\uff5e5ml\u4f5c\u7ffc\u5916\u808c\u5c01\u95ed\u3002\u7a7f\u523a\u70b9\u5728\u4e59\u72b6\u5207\u8ff9\u4e2d\u70b9\uff0c\u5782\u76f4\u8fdb\u9488\uff0c\u6df1\u5ea6\u7ea62.5\uff5e3cm\uff0c\u56de\u62bd\u65e0\u8840\u65f6\u6ce8\u836f\u3002\u5e38\u7528\u4e8e\u5f20\u53e3\u8fc7\u5927\u7684\u75c5\u5458\u3002 <\/P>
\n
3\uff0e\u6c2f\u4e59\u70f7\u55b7\u96fe\u914d\u5408\u6309\u6469\uff0c\u53ef\u4ee5\u7f13\u89e3\u5480\u56bc\u808c\u75c9\u631b\u3002\u55b7\u6c2f\u4e59\u70f7\u65f6\u8981\u6210\u96fe\u72b6\uff0c\u95f4\u65ad\u55b7\u5c04\uff0c\u914d\u5408\u6309\u6469\uff0c\u9632\u6b62\u51bb\u4f24\u3002\u5e76\u8981\u6ce8\u610f\u4fdd\u62a4\u773c\u3001\u8033\uff0c\u8fdc\u79bb\u706b\u6e90\u3002 <\/P>
\n
4\uff0e\u9488\u523a\u7597\u6cd5\u53d6\u7a74\uff1a\u4e0b\u5173\u3001\u542c\u5bab\u3001\u988a\u8f66\u3001\u5408\u8c37\u3001\u914d\u533b\u98ce\u3001\u592a\u9633\u3002 <\/P>
\n
5\uff0e\u8d85\u77ed\u6ce2\u3001\u79bb\u5b50\u5bfc\u5165\u3001\u7535\u5174\u594b\u53ca\u78c1\u7597\u7b49\u5c40\u90e8\u7406\u7597\u6709\u4e00\u5b9a\u7597\u6548\u3002 <\/P>
\n
\u6cbb\u7597\u7684\u540c\u65f6\uff0c\u8981\u7ea0\u6b63\u4e0d\u826f\u4e60\u60ef\uff08\u5982\u5355\u4fa7\u5480\u56bc\uff09\uff0c\u5e76\u9632\u6b62\u5f20\u53e3\u8fc7\u5927\u7b49\u3002 <\/P>
\n
\u203b\u203b\u75c5\u56e0\u5b66
\u989e\u4e0b\u988c\u5173\u8282\u7d0a\u4e71\u7efc\u5408\u75c7\u591a\u53d1\u4e8e\u9752\u58ee\u5e74\u3002\u5176\u53d1\u75c5\u673a\u7406\u5c1a\u672a\u5b8c\u5168\u660e\u4e86\u3002\u672c\u75c7\u7684\u4e3b\u8981\u7279\u70b9\u4e3a\u5173\u8282\u533a\u9178\u80c0\u75bc\u75db\u3001\u8fd0\u52a8\u65f6\u5f39\u54cd\u3001\u5f20\u53e3\u8fd0\u52a8\u969c\u788d\u7b49\u3002\u591a\u6570\u5c5e\u5173\u8282\u529f\u80fd\u5931\u8c03\u3001\u9884\u540e\u826f\u597d\uff1b\u4f46\u6781\u5c11\u6570\u75c5\u4f8b\u4e5f\u53ef\u53d1\u751f\u5668\u8d28\u6027\u6539\u53d8\u3002 <\/P>
\n
1\uff0e\u521b\u4f24\u56e0\u7d20\u5f88\u591a\u75c5\u5458\u6709\u5c40\u90e8\u521b\u4f24\u53f2\u3002\u5982\u66fe\u627f\u5916\u529b\u649e\u51fb\u3001\u7a81\u54ac\u786c\u7269\u3001\u5f20\u53e3\u8fc7\u5927\uff08\u5982\u6253\u5475\u6b20\uff09\u7b49\u6025\u6027\u521b\u4f24\uff1b\u8fd8\u6709\u7ecf\u5e38\u5480\u56bc\u786c\u98df\u3001\u591c\u95f4\u78e8\u7259\u4ee5\u53ca\u5355\u4fa7\u5480\u56bc\u4e60\u60ef\u7b49\u3002\u8fd9\u4e9b\u56e0\u7d20\u53ef\u80fd\u5f15\u8d77\u5173\u8282\u632b\u4f24\u6216\u52b3\u635f\uff0c\u5480\u56bc\u808c\u7fa4\u529f\u80fd\u5931\u8c03\u5bf9\u672c\u75c7\u7684\u53d1\u751f\u4e5f\u6709\u4e00\u5b9a\u5f71\u54cd\u3002 <\/P>
\n
2\uff0e\u54ac\u5408\u56e0\u7d20\u4e0d\u5c11\u75c5\u5458\u6709\u660e\u663e\u7684\u54ac\u5408\u5173\u7cfb\u7d0a\u4e71\u3002\u5982\u7259\u5c16\u8fc7\u9ad8\u3001\u7259\u9f7f\u8fc7\u5ea6\u78e8\u635f\u3001\u78e8\u7259\u7f3a\u5931\u8fc7\u591a\u3001\u4e0d\u826f\u7684\u5047\u7259\u3001\u988c\u95f4\u8ddd\u79bb\u8fc7\u4f4e\u7b49\u3002\u54ac\u5408\u5173\u7cfb\u7684\u7d0a\u4e71\uff0c\u53ef\u7834\u574f\u5173\u8282\u5185\u90e8\u7ed3\u6784\u95f4\u529f\u80fd\u7684\u5e73\u8861\uff0c\u4fc3\u4f7f\u672c\u75c7\u7684\u53d1\u751f\u3002 <\/P>
\n
3\uff0e\u5168\u8eab\u53ca\u5176\u4ed6\u56e0\u7d20\u795e\u7ecf\u7cbe\u795e\u56e0\u7d20\u4e0e\u672c\u75c5\u53ef\u6709\u4e00\u5b9a\u5173\u7cfb\u3002\u5982\u6709\u4e9b\u75c5\u5458\u6709\u60c5\u7eea\u6025\u71e5\u3001\u7cbe\u795e\u7d27\u5f20\u3001\u5bb9\u6613\u6fc0\u52a8\u7b49\u60c5\u51b5\u3002\u6b64\u5916\uff0c\u6709\u7684\u75c5\u5458\u6709\u98ce\u6e7f\u75c5\u53f2\uff0c\u6709\u7684\u53d1\u75c5\u4e0e\u53d7\u5bd2\u6709\u5173\u3002 <\/P>
\n
\u203b\u203b\u4e34\u5e8a\u8868\u73b0
\u989e\u4e0b\u988c\u5173\u8282\u7d0a\u4e71\u7efc\u5408\u75c7\u4e3b\u8981\u7684\u4e34\u5e8a\u8868\u73b0\u6709\u5c40\u90e8\u9178\u80c0\u6216\u75bc\u75db\u3001\u5f39\u54cd\u548c\u8fd0\u52a8\u969c\u788d\u3002\u75bc\u75db\u90e8\u4f4d\u53ef\u5728\u5173\u8282\u533a\u6216\u5173\u8282\u5468\u56f4\uff1b\u5e76\u53ef\u4f34\u6709\u8f7b\u91cd\u4e0d\u7b49\u7684\u538b\u75db\u3002\u5173\u8282\u9178\u80c0\u6216\u75bc\u75db\u5c24\u4ee5\u5480\u56bc\u53ca\u5f20\u53e3\u65f6\u660e\u663e\u3002\u5f39\u54cd\u5728\u5f20\u53e3\u6d3b\u52a8\u65f6\u51fa\u73b0\u3002\u54cd\u58f0\u53ef\u53d1\u751f\u5728\u4e0b\u988c\u8fd0\u52a8\u7684\u4e0d\u540c\u9636\u6bb5\uff0c\u53ef\u4e3a\u6e05\u8106\u7684\u5355\u54cd\u58f0\u6216\u788e\u88c2\u7684\u8fde\u54cd\u58f0\u3002\u5e38\u89c1\u7684\u8fd0\u52a8\u963b\u788d\u4e3a\u5f20\u53e3\u53d7\u9650\uff0c\u4f46\u4e5f\u53ef\u51fa\u73b0\u5f20\u53e3\u8fc7\u5927\u6216\u5f20\u53e3\u65f6\u4e0b\u988c\u504f\u659c\u3002\u6b64\u5916\uff0c\u8fd8\u53ef\u4f34\u6709\u989e\u90e8\u75bc\u75db\u3001\u5934\u6655\u3001\u8033\u9e23\u7b49\u75c7\u72b6\u3002 <\/P>
\n
\u203b\u203b\u9274\u522b\u8bca\u65ad
\u7531\u4e8e\u5f88\u591a\u5176\u4ed6\u75be\u75c5\u4e5f\u5e38\u5e38\u51fa\u73b0\u4e0a\u8ff0\u4e09\u4e2a\u4e3b\u8981\u75c7\u72b6\uff0c\u56e0\u6b64\u5fc5\u987b\u4e0e\u4ee5\u4e0b\u8bf8\u75be\u75c5\u4f5c\u9274\u522b\uff1a <\/P>
\n
1.\u80bf\u7624 <\/P>
\n
\u988c\u9762\u6df1\u90e8\u80bf\u7624\u4e5f\u53ef\u5f15\u8d77\u5f00\u53e3\u56f0\u96be\u6216\u7259\u5173\u7d27\u95ed\uff0c\u56e0\u4e3a\u80bf\u7624\u5728\u6df1\u90e8\u4e0d\u6613\u88ab\u67e5\u51fa\uff0c\u800c\u8bef\u8bca\u4e3a\u989e\u4e0b\u988c\u5173\u8282\u7d0a\u4e71\u7efc\u5408\u5f81\uff0c\u751a\u81f3\u8fdb\u884c\u4e86\u4e0d\u6070\u5f53\u7684\u6cbb\u7597\uff0c\u5931\u53bb\u4e86\u80bf\u7624\u65e9\u671f\u6839\u6cbb\u7684\u826f\u673a\u3002\u56e0\u6b64\uff0c\u5f53\u6709\u5f00\u53e3\u56f0\u96be\uff0c\u7279\u522b\u662f\u540c\u65f6\u4f34\u53d1\u80b2\u8111\u795e\u7ecf\u75c7\u72b6\u6216\u5176\u4ed6\u75c7\u72b6\u8005\uff0c\u5e94\u8003\u8651\u662f\u5426\u6709\u4ee5\u4e0b\u90e8\u4f4d\u7684\u80bf\u7624\uff1a\u2460\u989e\u4e0b\u988c\u5173\u8282\u826f\u6027\u6216\u6076\u6027\u6027\u80bf\u7624\uff0c\u7279\u522b\u662f\u9ac1\u72b6\u7a81\u8f6f\u9aa8\u8089\u7624\u3002\u2461\u989e\u4e0b\u7a9d\u80bf\u7624\u3002\u2462\u7ffc\u816d\u7a9d\u80bf\u7624\u3002\u2463\u4e0a\u988c\u7aa6\u540e\u58c1\u764c\u3002\u2464\u816e\u817a\u6076\u6027\u80bf\u7624\u3002\u2465\u9f3b\u54bd\u764c\u7b49\u3002 <\/P>
\n
2.\u989e\u4e0b\u988c\u5173\u8282\u708e <\/P>
\n
\u2460\u6025\u6027\u5316\u8113\u6027\u989e\u4e0b\u988c\u5173\u8282\u708e\uff08acute suppurative arthritis of temporomandibulor joint\uff09\uff0c\u5173\u8282\u533a\u53ef\u89c1\u7ea2\u80bf\uff0c\u538b\u75db\u660e\u663e\uff0c\u5c24\u5176\u4e0d\u80fd\u4e0a\u4e0b\u5bf9\uff0c\u7a0d\u7528\u529b\u5373\u53ef\u5f15\u8d77\u5173\u8282\u533a\u5267\u75db\u3002\u2461\u7c7b\u98ce\u6e7f\u6027\u989e\u4e0b\u988c\u5173\u8282\u708e\uff08rheumatoid arthritis of temporomandibular joint\uff09\uff0c\u5e38\u5e38\u4f34\u6709\u5168\u8eab\u6e38\u8d70\u6027\uff0c\u591a\u53d1\u6027\u5173\u8282\u708e\uff0c\u5c24\u4ee5\u56db\u80a2\u5c0f\u5173\u8282\u6700\u5e38\u53d7\u7d2f\uff0c\u665a\u671f\u53ef\u53d1\u751f\u5173\u8282\u5f3a\u76f4\u3002 <\/P>
\n
3.\u8033\u6e90\u6027\u75be\u75c5 <\/P>
\n
\u5916\u8033\u9053\u7596\u548c\u4e2d\u8033\u708e\u75c7\u4e5f\u5e38\u653e\u5c04\u5230\u5173\u8282\u533a\u75bc\u75db\u5e76\u5f71\u54cd\u5f00\u53e3\u548c\u5480\u56bc\uff0c\u4ed4\u7ec6\u8fdb\u884c\u8033\u79d1\u68c0\u67e5\u5f53\u4e0d\u96be\u9274\u522b\u3002 <\/P>
\n
4.\u9888\u690e\u75c5 <\/P>
\n
\u53ef\u5f15\u8d77\u9888\u3001\u80a9\u3001\u80cc\u3001\u8033\u540e\u533a\u4ee5\u53ca\u9762\u4fa7\u90e8\u75bc\u75db\uff0c\u5bb9\u6613\u8bef\u8bca\u3002\u4f46\u75bc\u75db\u4e0e\u5f00\u53e3\u548c\u5480\u56bc\u65e0\u5173\uff0c\u800c\u5e38\u5e38\u4e0e\u9888\u90e8\u6d3b\u52a8\u548c\u4e0e\u59ff\u52bf\u6709\u5173\u3002\u6709\u7684\u53ef\u6709\u624b\u7684\u611f\u67d3\u548c\u8fd0\u52a8\u5f02\u5e38\u3002X\u7ebf\u7247\u53ef\u534f\u52a9\u8bca\u65ad\u9888\u690e\u6709\u65e0\u9aa8\u8d28\u53d8\u5316\uff0c\u4ee5\u8d44\u9274\u522b\u3002 <\/P>
\n
5.\u830e\u7a81\u8fc7\u957f\u75c7 <\/P>
\n
\u9664\u4e86\u541e\u54bd\u65f6\u54bd\u90e8\u75bc\u75db\u548c\u611f\u89c9\u5f02\u5e38\u5916\uff0c\u5e38\u5e38\u5728\u5f00\u53e3\u3001\u5480\u56bc\u65f6\u53ef\u5f15\u8d77\u9ac1\u72b6\u7a81\u540e\u533a\u75bc\u75db\u4ee5\u53ca\u5173\u8282\u540e\u533a\uff0c\u8033\u540e\u533a\u548c\u9888\u90e8\u7275\u6d89\u75db\u3002X\u7ebf\u7247\u68c0\u67e5\uff0c\u5bb9\u6613\u786e\u8bca\u3002 <\/P>
\n
6.\u7654\u75c5\u6027\u7259\u5173\u7d27\u95ed\uff08hysterical trismus\uff09 <\/P>
\n
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\n
7.\u7834\u4f24\u98ce\u7259\u5173\u8282\u7d27\u95ed\uff08totanic trismus\uff09 <\/P>
\n
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