颈深部感染76例临床分析  

Deep neck infection:the clinical analysis of 76 cases

作　　者：李俊义[1] 毕京玉[1] 孟新宇[1] 张孟蕊[1] 李秀梅 

机构地区：[1]山东省莱芜市人民医院耳鼻咽喉科,271100 [2]山东单县中医院

出　　处：《中国现代医药杂志》2009年第4期45-47,共3页Modern Medicine Journal of China

摘　　要：目的分析颈深部感染的病因、临床特点、治疗方法和转归,提高对该病的诊治水平,减少并发症的发生。方法回顾性分析2005年1月～2008年3月间住院治疗的76例颈深部感染患者的临床资料。结果76例颈深部感染中73例痊愈(96.1%),2例好转(2.6%),1例放弃治疗自动出院(1.3%)。结论对颈深部感染做到早期诊断、早期治疗非常重要;颈深部感染的抗生素应用要联合、足量、足疗程,对颈深部脓肿形成者,及时充分切开引流是提高治愈率,减少并发症出现的关键;对于发病急、发展快,颈部、咽喉部广泛水肿或软组织高度肿胀压迫气管者,以及不行气管切开将给下一步治疗造成严重影响者,应及时行气管切开术。Objective To explore the etiology, clinical characteristics, treatment and turnover of deep neck infection and therefore to improve the treatment level and reduce illness complication occurrence through the clinical analysis of 76 cas- es. Methods From January 2005 to March 2008,the clinical data of 76 patients hospitalized with deep neck infection were collected and retrospectively analysed. Results Of the 76 cases, 73 were cured,2 were better,and 1 ceased treatments. Conclusion Early diagnosis and treatment of deep neck infection is very important. Antibiotic must be used with full dosage, full treatment course,unification. Once deep neck abscess is diagnosed,early surgical drainage is important for enhancing the cure rate and avoiding potentially disastrous complications.For the cases with acute onset,quick development and widespread hydropsia in cervical part or pars laryngea pharynges that oppress the trachea, the cases with none tracheotomy would influence the next treatment must be given tracheotomy in time.

关 键 词：颈深部感染 临床分析 抗生素 脓肿 引流术 

分 类 号：R653[医药卫生—外科学] R473.6[医药卫生—临床医学]