鼻内镜手术后并发头型破伤风感染诊疗体会  

Diagnosis and Treatment of Cephalic Tetanus Developed after Endoscopic Sinus Surgery

作　　者：晏婷 沈志莹 王芳[1] YAN Ting;SHEN Zhi-ying;WANG Fang(Department of Otolaryngology-head neck surgery,Third Xiangya Hospital,Central South University,Changsha Hunan 410013 China)

机构地区：[1]中南大学湘雅三医院耳鼻咽喉头颈外科,湖南长沙410013

出　　处：《医学临床研究》2019年第8期1520-1521,1524,共3页Journal of Clinical Research

摘　　要：【目的】通过分析头型破伤风临床病例特征,结合文献,探讨鼻内镜术后头型破伤风的诊治经验。【方法】1例46岁的男性患者,在鼻内镜术后26 d被诊断为头型破伤风,经历了抗感染,破伤风抗毒素,镇静,气管切开,营养支持等治疗。【结果】该例头型破伤风患者被成功救治,无后遗症。【结论】早期诊断和及时治疗是鼻源性头型破伤风成功救治的关键。鼻内镜术后1个月内,患者应避免暴露在破伤风杆菌富集的环境中。【Objective】By analyzing the clinical characteristics of head tetanus and combining with literature,the experience of diagnosis and treatment of head tetanus after endoscopic sinus surgery was discussed.【Methods】A 46-year-old male patient was diagnosed with head tetanus 26 days after endoscopic sinus surgery.He underwent anti-infection,tetanus antitoxin,sedation,tracheotomy and nutritional support.【Results】This patient with cephalic tetanus was successfully cured without sequelae.【Conclusion】Early diagnosis and timely treatment are the key to successful treatment of rhinogenic head tetanus.Within one month after endoscopic sinus surgery,patients should avoid exposure to tetanus-enriched environment.

关 键 词：耳鼻喉外科手术/副作用 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]