- 期刊
Retropharyngeal Abscess-A Case Report-
咽後膿瘍－一病例報告－
摘要
咽後膿瘍可能危及生命，需予緊急處置。茲報告一個4歲半女童，因頸部於兩天內逐漸腫大、疼痛並且厭食，隨後出現呼吸困難而入院。理學檢查，發現咽後壁紅腫凸出，頸部側面X光攝影，顯示咽後空間(retropharyngeal space)增厚，白血球數為27,500/立方公厘，雖然立即給予抗生素(oxacillin 150mg/kg/day)治療，膿瘍仍在第2天自然破裂，膿液培養出α-hemolytic streptococus，病人於氣管插管全身麻醉下接受切開引流，經過七天治療後，最後順利出院。本文討論咽後膿瘍的臨床表徵，X光診斷標準及治療方法，並強調外科療法的重要。
關鍵字
無資料並列摘要
A case of retropharyngeal abscess is reported. A four and one half-year-old girl was admitted with progressive swelling of the neck, accompanied by sore throat, neck pain, anorexia and dyspnea. Physical examination found a protrusion mass on the posterior pharyngeal wall. A lateral X-ray film of the neck showed increased, retropharyngeal space. The white count was 27,500/mm^3. The patient was treated with oxacillin, but the abscess ruptured spontaneously on the next day. Incision and drainage under general anesthesia were immediately performed by an otolaryngologist. Pus culture yielded a-hemolytic streptococcus. After seven days of antibiotic therapy, the patient was discharged uneventfully.
延伸閱讀
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