51例颈深部感染的临床诊治体会  

Clinical Diagnosis and Treatment of 51 Cases of Deep Neck Infection

作　　者：郭晓娟 侯艳鹏 王国新[1] GUO Xiaojuan;HOU Yanpeng;WANG Guoxin(The Fourth People’s Hospital of Shenyang,Shenyang 110031,China)

机构地区：[1]沈阳市第四人民医院,辽宁沈阳110031

出　　处：《中国医学创新》2018年第6期100-103,共4页Medical Innovation of China

摘　　要：目的:探讨颈深部感染的临床表现和诊治方法。方法:回顾性分析2014年12月-2017年12月本院收治的颈深部感染患者51例的临床资料,总结其发病特点及诊治方法。结果:51例患者中,30例扁桃体周围脓肿行切开引流术,其中5例同期行扁桃体切除术;1例咽旁脓肿及1例咽后脓肿行脓肿切开引流及气管切开;1例颌下间隙脓肿行穿刺抽脓;其他患者均经抗生素治疗。除1例合并多间隙脓肿患者转院,其余患者均治愈出院。结论:颈深部感染一旦形成脓肿,需尽早行切开引流,合并严重呼吸困难,需行气管切开术,用药宜选用广谱抗生素,必要时可联合用药。Objective:To investigate the clinical manifestations and diagnosis and treatment methods of deep neck infection.Method:The clinical data of 51 patients with deep neck infection in our hospital from December 2014 to December 2017 were analyzed retrospectively,and the characteristics of disease and methods of diagnosis and treatment were summarized.Result:Of the 51 patients,30 cases of peritonsillar abscess were treated by incision drainag,5 cases underwent tonsillectomy;1 case of parapharyngeal abscess and 1 case of retropharyngeal abscess were treated by incision drainag and tracheotomy;1 case of submaxillary space abscess treated by puncture and drainage;other patients were treated with antibiotic treatment.In addition to the 1 case with multiple space abscesses was transferred,all other patients were cured and discharged.Conclusion:Deep neck infection once the formation of abscess,incision and drainage need as soon as possible,combined with severe dyspnea patients need tracheotomy,medication should use of broad-spectrum antibiotics,if necessary,combined medication.

关 键 词：颈深部 感染 脓肿 

分 类 号：R63[医药卫生—外科学]