以急性会厌炎为首诊的3例颈部坏死性筋膜炎病例报告并文献复习  

Three cases of diagnosis and treatment of cervical necrotizing fasciitis with a primary diagnosis of acute epiglottitis

作　　者：赵雅铭 石崧 ZHAO Yaming;SHI Song(Department of Otolaryngology,Tong Ren Hospital Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China)

机构地区：[1]上海交通大学医学院附属同仁医院耳鼻喉科,上海200336

出　　处：《山东大学耳鼻喉眼学报》2021年第4期12-16,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨急性会厌炎与颈部坏死性筋膜炎的相关性及治疗经验。方法回顾性分析3例以急性会厌炎为首诊的颈部坏死性筋膜炎患者的临床资料,对急性会厌炎与颈部坏死性筋膜炎间的相关性及诊治经过进行分析。结果3例患者经颈部CT明确诊断后均行手术治疗,1例死亡,2例治愈出院。结论对于以急性会厌炎为首诊经积极抗感染抗炎治疗无效的患者应警惕颈部坏死性筋膜炎的可能。积极抗感染治疗、及时局部切开引流,并重视全身基础疾病的治疗是颈部坏死性筋膜炎治疗的关键。Objective To investigate the relationship between acute epiglottitis and cervical necrotizing fasciitis and its’clinical course.Methods A retrospective analysis of the clinical data of 3 cases of cervical necrotizing fasciitis with acute epiglottitis as the primary diagnosis.The correlation,diagnosis,and treatment of acute epiglottitisand cervical necrotizing fasciitis were analyzed.Results Three patients underwentsurgery after a definite diagnosis by neck CT.(1 fatality and 2 recoveries).Conclusion The possibility of cervical necrotizing fasciitis should be considered inpatients with acute epiglottitis who fail to respond to active anti-infective and anti-inflammatory treatment.Early surgery,drainage,and vigilance regarding the basic treatment of systemic diseases are keys to the treatment of cervical necrotizing fasciitis.

关 键 词：急性会厌炎 颈部坏死性筋膜炎 外科手术 感染 并发症 

分 类 号：R686[医药卫生—骨科学]