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小儿深部颈部感染——需要重症监护的风险

Paediatric Deep Neck Infection-The Risk of Needing Intensive Care.

作者信息

Perina Vojtech, Szaraz David, Harazim Hana, Urik Milan, Klabusayova Eva

机构信息

Department of Oral and Maxillofacial Surgery, University Hospital Brno, Faculty of Medicine, Masaryk University, Jihlavska 20, 625 00 Brno, Czech Republic.

Department of Paediatric Anaesthesiology and Intensive Care Medicine, University Hospital Brno, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic.

出版信息

Children (Basel). 2022 Jun 29;9(7):979. doi: 10.3390/children9070979.

Abstract

Deep neck infections are potentially dangerous complications of upper respiratory tract or odontogenic infections. The pathophysiology, clinical presentation, and potential spreading depend on the complex anatomy of the neck fascia. These infections can lead to severe pathological conditions, such as mediastinitis, sepsis, and especially airway impairment with difficult management. Because of the risk of life-threatening emergency situations and the possible impacts on the overall health status of affected children, their early recognition is of utmost importance. Torticollis, drooling, and stridor are the most common signs of advancing disease. Children presenting with these symptoms should be admitted to the paediatric intensive care unit for vital function monitoring, where the airway could be readily secured if function is compromised.

摘要

深部颈部感染是上呼吸道或牙源性感染的潜在危险并发症。其病理生理学、临床表现及潜在扩散取决于颈部筋膜的复杂解剖结构。这些感染可导致严重的病理状况,如纵隔炎、败血症,尤其是气道受损且处理困难。由于存在危及生命的紧急情况风险以及对患病儿童整体健康状况可能产生的影响,早期识别至关重要。斜颈、流涎和喘鸣是病情进展的最常见体征。出现这些症状的儿童应入住儿科重症监护病房进行生命功能监测,若功能受损,可在此迅速确保气道安全。

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