咽峡后脓毒症伴颈部坏死性筋膜炎的治疗  

The treatment of Lemierre syndrome associated with cervical necrotizing fascitis

作　　者：杨旭[1] 徐天舒[1] 朱志超[1] 王晓晔[2] 郑亮[3] Yang Xu;Xu Tianshu;Zhu Zhichao;Wang Xiaoye;Zheng Liang(Department of Oral and Maxillofacial Surgery,The First People＇s Hospital of Changzhou,The Third Affiliated Hospital of Soochow University,Changzhou Jiangsu 213000,China;Department of Otorhinolaryngology Head and Neck Surgery,The First People＇s Hospital of Changzhou,The Third Affiliated Hospital of Soochow University,Changzhou Jiangsu 213000,China;Department of Thoracic Surgery,The First People＇s Hospital of Changzhou,The Third Affiliated Hospital of Soochow University,Changzhou Jiangsu 213000,China)

机构地区：[1]常州市第一人民医院苏州大学附属第三医院口腔颌面外科,江苏常州213000 [2]常州市第一人民医院苏州大学附属第三医院耳鼻咽喉头颈外科,江苏常州213000 [3]常州市第一人民医院苏州大学附属第三医院胸外科,江苏常州213000

出　　处：《中华口腔医学杂志》2018年第8期552-554,共3页Chinese Journal of Stomatology

摘　　要：咽峡后脓毒症是一种继发于急性口咽感染，以感染性栓塞性颈内静脉炎为典型临床表现，有潜在致命性的疾病，常可继发颈部坏死性筋膜炎。本文回颐5例咽峡后脓毒症伴颈部坏死性筋膜炎患者的临床资料，颈部广泛切开引流及有效、足量的抗生素是治疗的基础，对于感染难以控制，菌栓远处扩散的患者，抗生素及抗凝药物联合治疗安全、有效。Lemierre syndrome is a rare, potentially fatal condition characterized by internal jugular vein thrombosis following an acute oropharyngeal infection, often accompanied with cervical necrotizing fasciitis. This paper reviews 5 cases of Lemierre syndrome with cervical necrotizing fasciitis, extensive cervical drainage and sufficient antibiotics is crucial treatment for Lemierre syndrome, anticoagulation combined with antibiotics is safe and effective for propagation or nonresolution of the thrombus.

关 键 词：筋膜炎 坏死性 抗凝药 脓毒症 

分 类 号：R459.7[医药卫生—急诊医学] R686.3[医药卫生—治疗学]