LeRiger Michelle M, Miler Veronica, Tobias Joseph D, Raman Vidya T, Elmaraghy Charles A, Jatana Kris R
Division of Pediatric Anesthesiology, Omaha Children's Hospital & Medical Center.
Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE.
Int Med Case Rep J. 2017 Nov 23;10:381-384. doi: 10.2147/IMCRJ.S146661. eCollection 2017.
Retropharyngeal abscesses in the pediatric population can cause severe respiratory distress. We report a rare case of significant airway obstruction in a 14-month-old patient requiring rapid, emergent tracheotomy after attempts at endotracheal intubation by an experienced airway surgeon were unsuccessful. The patient was diagnosed with streptococcal pharyngitis 9 days prior to presentation to our facility and was being treated with amoxicillin. Prompt diagnosis, communication, and appropriate multidisciplinary airway management can lead to successful outcomes even in these severe cases.
小儿咽后脓肿可导致严重的呼吸窘迫。我们报告一例罕见病例，一名14个月大的患者出现严重气道梗阻，在经验丰富的气道外科医生尝试气管插管失败后，需要迅速进行紧急气管切开术。该患者在到我们机构就诊前9天被诊断为链球菌性咽炎，一直在接受阿莫西林治疗。即使在这些严重病例中，及时诊断、沟通和适当的多学科气道管理也能带来成功的结果。
