Maheshwar A A, Jones M B, Evans R A
ENT Department, Princess of Wales Hospital, Bridgend, Glamorgan.
Int J Clin Pract. 2001 Mar;55(2):93-5.
Recurrent acute tonsillitis, peritonsillar infections and quinsy (peritonsillar abscess) are common clinical conditions that present to a general practitioner. Management in general practice and in hospital is confounded by apparently conflicting treatment options in the medical literature. We have developed clear guidelines as part of an ongoing audit cycle which include performing quinsy or 'hot' tonsillectomy in selected cases, alongside conservative treatments to ensure the speedy recovery and minimal hospitalisation of all patients, with resultant cost benefits.
复发性急性扁桃体炎、扁桃体周围感染和扁桃体周脓肿(咽旁脓肿)是全科医生常见的临床病症。医学文献中明显相互矛盾的治疗选择使得全科医疗和医院的管理变得复杂。作为正在进行的审计周期的一部分,我们制定了明确的指南,包括在特定病例中进行扁桃体周脓肿切开引流术或“热”扁桃体切除术,同时采用保守治疗,以确保所有患者迅速康复并尽量减少住院时间,从而带来成本效益。