摘要
Abstract
Objective To explore the treatment approaches to deep neck abscess in Niger, Africa.Methods Anti - inflammatory treatment was conducted on 62 cases of neck deep abscess by us in the Niger Niamey hospital.Incision and drainage was performed on 53 cases, 5 cases died before incision and drainage, and 4 cases of lymph node tuberculosis wTere referred to Internal Medicine Department.Intravenous antibiotics were administered for 1 ~ 2 weeks before switching to oral medication for those who could afford it.Otherwise, intravenous antibiotics were administered for 3 ~ 5 days before oral medication.Results Among the 62 cases of deep neck abscess, 18 were caused by odontogenic infection, 14 by pyogenic infection of cervical lymph nodes, 10 peritonsillar abscess, 8 upper respiratory tract infection, 6 suppurative tonsillitis , 4 tuberculosis in cervical lymph nodes, and 2 esophageal foreign body infection.Laboratory tests proved positive for 25 cases of pus culture, including 8 cases of Pseudomonas aeruginosa, 6 variant Streptococcus, 10 Staphylococcus aureus, and 1 case of E.coli.Imaging examination results showed 6 cases of abscess ( type B ultrasonography ), 1 case of spherical shadow by right of sinus piriformis and 1 case of barium infiltration into anterior cervical abscess indicating pharyngeal fistula ( X - ray ), 1 case of massive anterior cervical abscess with gas but no mediastinal abscess.Among the 62 cases followed up for 6 months to one year, 49 cases recovered, 8 died, and 5 were lost to follow - up.Conclusion Deep neck abscess often has life threatening complications.In Africa and some basic hospitals in China where medical conditions are poor, doctors should pay close attention to the clinical features of this disease.Once diagnosed with deep neck abscess, the patients should be performed with abscess incision and drainage as early as possible, and given appropriate and sufficient antibiotics.关键词
颈深部脓肿/切开引流/抗菌药Key words
Neck deep abscess/ Incision and drainage/ Anti -bacterial agents分类
医药卫生
