颈深部脓肿23例临床分析

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1、生垦圭查匿绫金鱼塾盘查!!!!生!旦箜!!查筮!塑曼塾!璺!!堡丛里M竖坐曼!堡!!!!竺!!!!!!!!坠!：!!!塑!：!。43‘·论著·颈深部脓肿23例临床分析任海棠1’2(1．天津医科大学研究生院，天津300070；2．天津市天和医院，天津300050)【摘要】目的分析颈深部脓肿的发病原因、临床表现和治疗体会。方法回顾性分析2003年1月至2009年10月本院收治的23例颈深部脓肿患者的I临床资料。结果23例患者的原发病：急性扁桃体炎4例，急性咽喉炎5例，牙源性感染2例，异物2例，不明原因10例；脓肿部位：咽旁脓肿14例，咽后脓肿5例，颌下间隙脓肿2例，气

2、管前间隙脓肿2例，并发症：纵隔脓肿2例，气胸脓胸1例。21例行切开引流，2例自行破溃。13例应用2种抗生素(A组)，10例用1种抗生素(B组)；A组平均治疗时间明显短于B组((10．6士6．2)d比(15．9士7．5)d，P

3、0．01．016neckof23casesRENDeepabscess：analysisHai-tang．GraduateSchool，丁如行筇刀MedicalUniversity，Tian-社雄300070，China，丁妇njinT谊nileHospital，Tianfin300050，China[Abstract]ObjectiveToanalyzethepathogenesis，clinicalmanifestationsandtreatmentofpatientswithdeepneckabscess．MethodsAretrospectiverevie

4、wwasconductedin23caseswithdeepneckabscessatTianiinTianheHospitalfromJanuary2003tOOctober2009．ResultsTheprimarydiseasesof23patientswithneckabscesswereacutetonsillitis(4cases)，acuteinfectiondeeplaryngitis(5cases)，odontogenic(2cases)。foreignbodiesinesophagus(2cases)andcauseuncertain(10ca

5、ses)．Thelocationsofabscesswereparapharyngealabscess(14cases)，retropharyngealabscess(5cases)，submaxillaryspaceabscess(2cases)andpretrachealspaceabscess(2cases)．Complications：mediastinalabscess(2cases)，andpyopneumothorax(1case)．InregardtOtreatments。21casesweretreatedwithincisionanddrain

6、age，andself—ruptureoccurredin2casesl13casesweretreatedwithtwokindsofantibiotics(groupA)，and10cases，withonekindofantibiotics(groupB)．ThetherapeutictimeofgroupAwasobviouslyshorterthanthatingroupB((10．6士and2casesdied6．2)daysVS．(15．9士7．5)days，P<0．01]．Twenty—onecases(91．3％)werecured(8．7％)。

7、Onediedofmediastinalabscesswithsepticshockand1case，ofpyopneumothorax．ConcluslonOncedeepneckabscessisdiagnosed，itisimportanttOmakeimagingandetiologicalexaminationsimmediately，undertakesurgicaldrainageasearlyaspossibleanduseantibioticsappropriatelytOenergeticallycontrolcomplicationsandi

8、mprov