Friedman N R, Mitchell R B, Pereira K D, Younis R T, Lazar R H
Le Bonheur Children's Medical Center, Memphis, Tenn, USA.
Arch Otolaryngol Head Neck Surg. 1997 Jun;123(6):630-2. doi: 10.1001/archotol.1997.01900060072013.
To highlight the modes of presentation and management of a peritonsillar abscess in children younger than 5 years.
Retrospective case series.
Tertiary referral pediatric otolaryngology practice.
Seven children younger than 5 years.
The mean age of the children studied was 27 months (age range, 7-41 months). Five (71%) of the 7 patients underwent computed tomographic scanning to confirm the diagnosis. Pus was cultured at surgery in every case. The most common organism detected was Streptococcus viridans. The average hospital stay was 72 hours (range, 22 hours to 12 days). After diagnosis of an abscess, all patients underwent an electrocautery tonsillectomy and had an uneventful recovery.
Children younger than 5 years who present with poor oral intake, high fever, drooling, and trismus should be suspected of having a peritonsillar abscess. A computed tomographic scan of the neck is usually required to confirm a suspected diagnosis. Prompt diagnosis and treatment will lead to a considerable decrease in morbidity. Immediate tonsillectomy is a safe and effective means of abscess drainage.
强调5岁以下儿童扁桃体周围脓肿的表现形式及处理方法。
回顾性病例系列研究。
三级转诊儿科耳鼻喉科诊所。
7名5岁以下儿童。
所研究儿童的平均年龄为27个月（年龄范围7 - 41个月）。7例患者中有5例（71%）接受了计算机断层扫描以确诊。每例手术时均进行了脓液培养。最常见的检出微生物是草绿色链球菌。平均住院时间为72小时（范围22小时至12天）。确诊脓肿后，所有患者均接受了电灼扁桃体切除术，恢复顺利。
出现经口进食差、高热、流涎及牙关紧闭的5岁以下儿童应怀疑患有扁桃体周围脓肿。通常需要进行颈部计算机断层扫描以确诊疑似病例。及时诊断和治疗将大幅降低发病率。立即行扁桃体切除术是一种安全有效的脓肿引流方法。
