颈段食管鱼刺贯穿伤致甲状腺及颈深部脓肿1例诊治经验探讨  

The diagnosis and treatment of 1 case of esophageal penetrating injury caused by fish bone which resulted in thyroid injury and deep cervical abscess

作　　者：金玉波 杨曦[1] 黄成 何晓光[1] 

机构地区：[1]昆明医科大学第一附属医院耳鼻咽喉二科,云南昆明650000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2018年第3期293-294,共2页Chinese Medical Digest(Otorhinolaryngology)

基　　金：云南省卫生基层人才培养计划(L-201209)

摘　　要：目的探讨颈段食管鱼刺异物致甲状腺贯穿伤、颈深部脓肿的临床表现、诊断及治疗方法。方法对就诊于昆明医科大学第一附属医院耳鼻咽喉二科因鱼刺异物致右侧部分甲状腺及颈深部脓肿的1例患者进行回顾性分析,并结合文献资料,对颈部异物的诊断及治疗方法进行分析总结。结果患者经颈部超声及CT检查明确颈部异物的存在及其位置,并给予行颈深部软组织探查及清创术,预后良好。结论异物致颈部脓肿患者病情较危重,早期明确诊断及尽早行脓肿清创引流是治疗关键。Objective To summarize the clinical manifestation,diagnosis,and treatment of thyroid penetrating injury and deep cervical abscess caused by foreign body（fish bone）in cervical esophagus. Methods A retrospective analysis was performed about a patient with thyroid gland penetrating injury and deep neck abscess caused by fish bone in esophagus in Department of Otolaryngology,First Affiliated Hospital of Kunming Medical University. The diagnosis and treatment of fish bone in the neck were analyzed and summarized,combined with the case with literature data. Results The patient was confirmed by neck ultrasound and CT examination to determine the presence and location of foreign body in the neck. Deep neck soft tissue exploration and debridement were performed. The prognosis was good. Conclusion The condition of patients with cervical abscess caused by foreign body is more critical. Early diagnosis and early debridement and drainage of abscess are the key to treatment.

关 键 词：脓肿 甲状腺 鱼刺异物 

分 类 号：R653[医药卫生—外科学]