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急性颈部炎症过程的计算机断层扫描成像

Computed tomography imaging of acute neck inflammatory processes.

作者信息

Bou-Assaly Wessam, McKellop Jason, Mukherji Suresh

机构信息

Wessam Bou-Assaly, Jason Mckellop, Suresh Mukherji, Department of Radiology, Neuroradiology Division, University of Michigan Health System, Ann Arbor VA Health System, 2215 Fuller Road, Ann Arbor, MI 48103, United States.

出版信息

World J Radiol. 2010 Mar 28;2(3):91-6. doi: 10.4329/wjr.v2.i3.91.

Abstract

Early diagnosis and management of neck infections and inflammatory processes is a common challenge for emergency and ear, neck and throat physicians, as well as radiologists. Emergency neck infections are diverse in their presentation, ranging from a transient enlargement of a lymph node to a rapidly spreading necrotizing fasciitis. Symptoms and signs, with the clinical history, usually suggest the diagnosis. But complex neck anatomy and sometimes limited physical examination can obscure and delay diagnosis, thus the need for an appropriate imaging exam and correct interpretation. In this pictorial review, we will consider common neck acute inflammatory processes that may be encountered in the emergency room and discuss some of their salient imaging findings.

摘要

颈部感染和炎症过程的早期诊断与处理,对急诊科医生、耳鼻喉科医生以及放射科医生来说都是一项常见挑战。急诊颈部感染的表现多种多样,从淋巴结的短暂肿大到迅速蔓延的坏死性筋膜炎。症状、体征结合临床病史通常可提示诊断。但颈部解剖结构复杂,有时体格检查受限,可能会使诊断模糊并延误,因此需要进行恰当的影像学检查及正确解读。在本图像综述中,我们将探讨急诊室中可能遇到的常见颈部急性炎症过程,并讨论其一些显著的影像学表现。

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