Wajn J, von Buchwald C, Arndal H
Ore-naese-halsafdelingen, Københavns Amts Sygehus i Glostrup.
Ugeskr Laeger. 1993 Jul 12;155(28):2211-2.
In patients with respiratory distress and difficulty in swallowing life-threatening conditions should be born in mind. We report a case in which the diagnosis of retropharyngeal abscess was established with considerable delay in an eight-month girl. The etiology and clinical picture is discussed. We conclude that patients with stridor and drooling should be admitted to hospital at once and should be examined with equipment for tracheotomy/intubation ready. If the epiglottis is found to be normal the possibility of a retropharyngeal abscess should be considered.
对于有呼吸窘迫和吞咽困难的患者,应牢记危及生命的情况。我们报告一例8个月女童,诊断为咽后脓肿时出现了相当长的延误。文中讨论了病因和临床表现。我们得出结论,有喘鸣和流口水症状的患者应立即住院,并应在准备好气管切开术/插管设备的情况下进行检查。如果发现会厌正常,应考虑咽后脓肿的可能性。