外科理论与实践2019，Vol.24Issue(2)：135-140,6.DOI:10.16139/j.1007-9610.2019.02.011
颈深部间隙感染的综合治疗(附12例报告)
Comprehensive treatment of deep neck space infection: a report of 12 cases
杨晨 1孙祥 2丁家增 3丁晓毅 4张华 5王士礼 1蔡昌枰1
作者信息
- 1. 上海交通大学医学院附属瑞金医院耳鼻咽喉科,上海 200025
- 2. 苏州眼耳鼻喉科医院耳鼻咽喉科,江苏 苏州 215006
- 3. 上海交通大学医学院附属瑞金医院外科,上海 200025
- 4. 上海交通大学医学院附属瑞金医院放射介入科,上海 200025
- 5. 上海交通大学医学院附属瑞金医院放射科,上海 200025
- 折叠
摘要
Abstract
Objective To investigate the comprehensive treatment of deep neck space infection. Methods The clinical data of 12 patients with deep neck space infection were retrospectively analyzed in Department of Otolaryngo-logy, Ruijin Hospital from January 2005 to September 2018. Results Four cases had concurrent diabetes mellitus and pharyngalgia was the most common and first-episode symptom. All patients were diagnosed as deep neck space infection by neck CT scan. The parapharyngeal space was the most involved among deep neck spaces. Eight patients underwent abscess dissection including one case with dissection in one space and CT-guided percutaneous aspiration and drainage in another space. Three patients underwent tracheotomy simultaneously. Intravenous antibiotics was given all patients and nasogastric feeding in 5 patients. Hospital stay was (29.1 ±7.3) days. Totally 11 patients were cured and 1 patient died. Conclusions It is indicated in this study that early and adequate use of broad-spectrum antibiotics, timely drainage, airway management and nutritional support are the key to treat deep neck space infection comprehensively.关键词
颈深部感染/脓肿/手术Key words
Deep neck infection/Abscess/Surgery分类
医药卫生引用本文复制引用
杨晨,孙祥,丁家增,丁晓毅,张华,王士礼,蔡昌枰..颈深部间隙感染的综合治疗(附12例报告)[J].外科理论与实践,2019,24(2):135-140,6.
