Tsai Y S, Lui C C
Department of Emergency Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Am J Emerg Med. 1997 Jul;15(4):381-2. doi: 10.1016/s0735-6757(97)90132-7.
Retropharyngeal abscess is not uncommon, but the incidence of epidural extension of a retropharyngeal abscess is very rare. Intraspinal involvement of the deep neck infection should be suspected if the patient has neurologic deficits. Emergent surgical drainage and aggressive antibiotic treatment are necessary. The outcome is strongly associated with the level of neurologic function at the time of diagnosis. Contrast-enhanced computed tomography is an excellent diagnostic method for any deep neck infection. A case is presented in which a perforating pharyngeal foreign body (fish bone) induced a retropharyngeal and epidural abscess. The literature is reviewed to improve the early recognition and treatment of this complication of deep neck infection.
咽后脓肿并不少见，但咽后脓肿硬膜外扩展的发生率非常罕见。如果患者出现神经功能缺损，应怀疑深部颈部感染累及脊髓。紧急手术引流和积极的抗生素治疗是必要的。预后与诊断时的神经功能水平密切相关。对比增强计算机断层扫描是诊断任何深部颈部感染的极佳方法。本文报告一例因咽穿孔性异物（鱼骨）导致咽后和硬膜外脓肿的病例。通过回顾文献以提高对这种深部颈部感染并发症的早期识别和治疗。
