山东大学耳鼻喉眼学报

• 论文 • 上一篇    

小儿急性咽后脓肿的诊断与治疗

柯朝阳,周敬淳,周 舟,刘 明   

  1. 暨南大学第二临床学院深圳市人民医院耳鼻咽喉科, 广东 深圳 518020
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-24 发布日期:2008-02-24
  • 通讯作者: 柯朝阳

Diagnosis and treatment of acute retropharyngeal abscesses in children

KE Zhao-yang, ZHOU Jing-chun, ZHOU Zhou, LIU Ming   

  1. Department of Otolaryngology, Second Clinical College of Jinan University,Shenzhen People′s Hospital, Shenzhen 518020, Guangdong, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-02-24 Published:2008-02-24
  • Contact: KE Zhao-yang

摘要: 目的总结小儿急性咽后脓肿的诊治体会。方法回顾性分析8例小儿急性咽后脓肿患者的临床表现及治疗经过。结果5例首诊儿科并延误诊断。5例进行了颈部影像学检查,诊断准确率为100%。8例中6例经口内脓肿切开引流治愈;2例脓肿突然破裂,1例抢救后治愈,1例因全身感染中毒症状重而死亡。结论小儿急性咽后脓肿易被误诊,影像学检查有助提高诊断准确率,脓肿切开引流是最直接有效的治疗手段,倒提患儿是脓肿突然破裂时实用有效的急救措施。对于全身感染中毒症状较重的患儿,应及早行对症治疗。

关键词: 咽后脓肿, 儿童, 诊断, 治疗

Abstract: To summarize the diagnostic and therapeutic experience of acute retropharyngeal abscesses in children. MethodA retrospective study was carried out among 8 cases. Results5 cases were first misdiagnosed by pediatrics doctors, then the 5 cases received neck imaging examination and the diagnosis rate was 100%. Among 8 cases, 6 cases were cured by intraoral drainage of the abscess and in 2 cases the abscess suddenly ruptured. One was cured by salvage and the other died because of exhaustion resulting from the severity of the infection. ConclusionNeck imaging is helpful for the diagnosis of acute retropharyngeal abscesses in children and incision and drainage of the abscesses is the most effective therapeutic method. When the abscess suddenly ruptured, turning the children upside down is an effective first-aid measurement. Early support and symptomatic treatment is necessary for prevention of exhaustion of patients resulting from severe infection.

Key words: Children, Diagnosis, Retropharyngeal abscess, Therapy

中图分类号: 

  • R766.15
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