异物所致颈部脓肿
[Abstract]:Objective: to explore the clinical features, diagnosis and treatment of cervical abscess caused by foreign body, and to improve the diagnosis and treatment of the disease. Methods: the clinical data of 3 cases of cervical abscess caused by foreign bodies in our department from 2012 to 2015 were analyzed retrospectively, and 46 cases (49 cases) of similar cases in Chinese and English were reviewed. Analysis included history, choice of imaging, choice of treatment and operation, complications, etc. Results: the history of foreign body in 49 patients ranged from 1 day to 6 months. CT was performed in 41 cases, X-ray in 5 cases and ultrasound in 2 cases. Surgical drainage and abscess were performed in 48 cases (98%), among which 31 cases were selected for lateral cervical incision, 46 cases (93.9%) were found and removed during operation, only 1 case (2%) was treated conservatively, only 3 cases (6.1%) underwent tracheotomy. A total of 17 cases (34.7%) had complications, including 8 cases of respiratory arrest, of which 7 cases were caused by abscess rupture and pus overflow during anesthesia intubation, all of them were infants, 1 case was caused by abscess and huge compression of airway, 3 cases were septic shock. There were 3 cases of mediastinal abscess, 2 cases of vocal cord paralysis and 1 case of carotid artery rupture. All the reported cases were cured and discharged. Conclusion: cervical abscess caused by foreign body is more serious than common cervical abscess. Combined with history and imaging examination, early diagnosis and removal of foreign bodies and early drainage of cervical abscess are the key to treatment.
【学位授予单位】:重庆医科大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R653
【参考文献】
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