Pontell J, Har-El G, Lucente F E
Department of Otolaryngology, State University of New York Health Center, Brooklyn/Long Island College Hospital 11201, USA.
Ear Nose Throat J. 1995 Oct;74(10):701-4.
Retropharyngeal abscess, once a relatively common entity in children, is uncommon today. From 1981 to 1991, we treated 20 cases. Abscesses secondary to upper respiratory infection in children were seen only in three (15%) cases. Trauma and foreign bodies were the most common etiologic factors in the adult subgroup. Streptococcus viridans and Klebsiella pneumoniae were the most common pathogens. The use of contrast-enhanced computed tomography has had a significant impact on the diagnostic work-up. The choice of initial antibiotic therapy is discussed. There were no deaths in this series.
咽后脓肿曾是儿童中相对常见的病症，如今已不常见。1981年至1991年，我们共治疗了20例。儿童因上呼吸道感染继发的脓肿仅见于3例（15%）。创伤和异物是成人亚组中最常见的病因。草绿色链球菌和肺炎克雷伯菌是最常见的病原体。增强计算机断层扫描的应用对诊断检查产生了重大影响。文中讨论了初始抗生素治疗的选择。本系列无死亡病例。
