Cohen M A, Docktor J W
Emergency Department, York Hospital, PA 17405, USA.
Am J Emerg Med. 1999 Jan;17(1):46-9. doi: 10.1016/s0735-6757(99)90015-3.
This report describes the case of an elderly, diabetic woman who became dehydrated and developed acute suppurative parotitis, which caused marked swelling of her left face and neck. The parotid infection also extended by continuity into the lateral pharyngeal space and contiguous deep neck spaces, causing airway-threatening, extensive inflammation and swelling of the epiglottis and parapharyngeal soft tissues. The differential diagnosis and diagnostic rationale is discussed. The anatomy of the stylomandibular area is reviewed to explain how infection of the parotid can spread to the pharynx.
本报告描述了一名老年糖尿病女性的病例，该患者出现脱水并发展为急性化脓性腮腺炎，导致左侧面部和颈部明显肿胀。腮腺感染还通过连续性蔓延至咽外侧间隙和相邻的颈部深部间隙，引起会厌和咽旁软组织广泛炎症和肿胀，威胁气道。文中讨论了鉴别诊断及诊断依据。回顾了茎突下颌区的解剖结构，以解释腮腺感染如何蔓延至咽部。
