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穿透性异物继发咽后脓肿。

Retropharyngeal abscess secondary to penetrating foreign bodies.

作者信息

Poluri A, Singh B, Sperling N, Har-El G, Lucente F E

机构信息

Department of Otolaryngology, State University of New York, Health Science Center at Brooklyn, USA.

出版信息

J Craniomaxillofac Surg. 2000 Aug;28(4):243-6. doi: 10.1054/jcms.2000.0151.

DOI:10.1054/jcms.2000.0151
PMID:11110158
Abstract

A retrospective study was conducted on patients with upper aerodigestive tract foreign bodies requiring operative intervention over a 12-year period to aid in the recognition and management of foreign body associated complications. Oesophagoscopies were performed for the removal of foreign bodies in 37 patients, age one to 82 years with a male to female ratio of 1.2:1. Retropharyngeal abscesses accounted for eight of 11 foreign body-associated complications. Fish bones were the cause in six cases, chicken bone and a pen refill in one case each. An abscess was already present at the time of initial procedure in six cases and developed in two cases after successful removal of the foreign body. A high level of suspicion for a retropharyngeal abscess should be maintained in cases with perforation, and in patients with immunodeficiency.

摘要

对12年间需要手术干预的上消化道异物患者进行了一项回顾性研究,以帮助识别和处理与异物相关的并发症。对37例年龄在1岁至82岁之间、男女比例为1.2:1的患者进行了食管镜检查以取出异物。11例与异物相关的并发症中,咽后脓肿占8例。鱼骨导致6例,鸡骨和笔芯各导致1例。6例在初次手术时就已存在脓肿,2例在异物成功取出后出现脓肿。对于穿孔病例以及免疫功能低下的患者,应高度怀疑咽后脓肿。

相似文献

1
Retropharyngeal abscess secondary to penetrating foreign bodies.穿透性异物继发咽后脓肿。
J Craniomaxillofac Surg. 2000 Aug;28(4):243-6. doi: 10.1054/jcms.2000.0151.
2
Retropharyngeal abscess: clinical review.咽后脓肿:临床综述
Ear Nose Throat J. 1995 Oct;74(10):701-4.
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[Early management of foreign bodies in the upper digestive tract with flexible fiberendoscopy].[上消化道异物的纤维内镜早期处理]
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Retropharyngeal abscess in a young child due to ingestion of eel vertebrae.一名幼儿因吞食鳗鱼脊椎骨导致咽后脓肿。
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Surgical management of retropharyngeal abscesses.咽后脓肿的外科治疗
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Endoscopic management of foreign bodies in the upper-GI tract: experience with 1088 cases in China.上消化道异物的内镜处理:中国1088例病例经验
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[Retropharyngeal abscesses: a retrospective analysis of 10 patients].[咽后脓肿:10例患者的回顾性分析]
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