Srirompotong Somchai, Srirompotong Supaporn, Saeseow Patchareeporn
Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Thailand.
J Med Assoc Thai. 2004 Apr;87(4):382-5.
Retropharyngeal space infections are relatively rare since the widespread use of modern antibiotics. In children, retropharyngeal space infections usually occur following an upper respiratory tract infection, while in adults they are usually caused by trauma, foreign bodies or extension from adjacent spaces. The authors reviewed 12 patients with retropharyngeal space infection between July 1996 and June 2002. Age, sex, duration of symptoms and hospitalization time, clinical presentation, etiology, underlying disease, bacteriology, treatment and complications were analyzed. Widening of the prevertebral soft tissue as seen on a plain film of the lateral neck was the most important diagnostic tool. Fever was the most common symptom (91.6%) and showed a high prevalence in adult populations (66.6%). Half of the cases were caused by ingestion of a foreign body. Nine cases underwent surgical drainage which was positive in eight cases (88.8%). Staph. aureus, K. pneumoniae and Enterobacter species were the predominant pathogens. Early diagnosis and appropriate use of antibiotics lessened morbidity. Only two cases had postoperative complications and both recovered.
自从现代抗生素广泛使用以来，咽后间隙感染相对少见。在儿童中，咽后间隙感染通常在上呼吸道感染后发生，而在成人中，通常由外伤、异物或邻近间隙蔓延所致。作者回顾了1996年7月至2002年6月期间12例咽后间隙感染患者。对年龄、性别、症状持续时间和住院时间、临床表现、病因、基础疾病、细菌学、治疗及并发症进行了分析。颈部侧位平片显示的椎前软组织增宽是最重要的诊断手段。发热是最常见的症状（91.6%），且在成人患者中患病率较高（66.6%）。半数病例由异物摄入引起。9例患者接受了手术引流，其中8例（88.8%）引流结果呈阳性。金黄色葡萄球菌、肺炎克雷伯菌和肠杆菌属是主要病原体。早期诊断和合理使用抗生素可降低发病率。仅2例患者有术后并发症，且均康复。
