Lalakea M l, Messner A H
Division of Otolaryngology-Head and Neck Surgery, Santa Clara Valley Medical Center, San Jose, CA 95128, USA.
Otolaryngol Head Neck Surg. 1999 Oct;121(4):398-405. doi: 10.1016/S0194-5998(99)70228-7.
Retropharyngeal abscesses (RAs) in children are uncommon in the modern antibiotic era. As a result, there are few large series outlining the management of these infections in contemporary literature. The goal of this study is to determine the current standard of care for RA. The membership of the American Society of Pediatric Otolaryngology was surveyed, and the response rate was 77.5%. Seventy-two percent of practitioners reported that CT is their preferred diagnostic method. Nearly two thirds recommended a trial of intravenous antibiotics at least occasionally for suspected RA before operative drainage was considered; 51% of respondents indicated that 20% to 40% of RA may resolve with antibiotics alone. Intraoral incision and drainage is the surgical technique preferred by 83% of respondents. Tracheotomy and short-term intubation (24 to 72 hours) are rarely required. This study defines current management practices for RA in children among pediatric otolaryngologists. Results are compared with those in the existing literature.
在现代抗生素时代，儿童咽后脓肿（RA）并不常见。因此，当代文献中很少有大型系列文章概述这些感染的治疗方法。本研究的目的是确定目前RA的治疗标准。对美国小儿耳鼻喉科学会的会员进行了调查，回复率为77.5%。72%的从业者报告称，CT是他们首选的诊断方法。近三分之二的人建议，在考虑手术引流之前，对于疑似RA的患者，至少偶尔应尝试静脉使用抗生素；51%的受访者表示，20%至40%的RA患者仅使用抗生素可能会痊愈。83%的受访者首选经口切开引流的手术技术。很少需要气管切开术和短期插管（24至72小时）。本研究明确了小儿耳鼻喉科医生对儿童RA的当前治疗方法。并将结果与现有文献中的结果进行了比较。
