摘要
目的:探讨食管异物穿孔致颈深间隙感染及纵隔脓肿的临床表现、影像学检查及治疗方案。方法:6例食管异物穿孔致颈深间隙感染及纵隔脓肿患者均行颈侧切开探查+颈部脓肿切开引流术,3例并纵隔脓肿者同时行经颈部纵隔脓肿引流术。结果:6例患者均治愈。胃管拔除中位时间11d(7~30d)。均未行气管切开。结论:对于可疑穿孔者应尽早行颈胸部CT检查明确异物位置及与周围组织的关系。对于怀疑颈深间隙感染及纵隔脓肿形成者,应及时行手术探查,切开引流,取出异物。
Objective：The aim of this study is to discuss the clinical presentation,imaging examination and treatment of neck abscess and mediastinal abscess following esophageal perforation induced by esophageal foreign body.Method：Six patients all underwent lateral neck incision and drainage of neck abscess.Simultaneously,mediastinal abscess drainage was performed in 3 cases with mediastinal abscess.Result：All 6 patients were cured.The median time of extraction of gastric tube was 11 days（7-30 days）.All patients were not treated with tracheotomy.Conclusion：Neck and chest CT should be done as soon as possible for suspected patients to definite the location of foreign body and the relationship between foreign body and surrounding structures.Patient who were suspected with neck abscess and mediastinal abscess should undergo surgery to remove foreign body and drain the infectious deep neck and mediastinal spaces as early as possible.
作者
葛鑫颖
刘良发
路承
张奥博
王振晓
GE Xinying, LIU Liangfa ,LU Cheng, ZHANG Aobo, WANG Zhenxiao(Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, Chin)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第4期292-294,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
北京市教育委员会科技发展计划面上项目(No:KM201510025028)
关键词
异物
食管穿孔
颈深间隙感染
纵隔脓肿
诊断与治疗
foreign bodies
esophageal perforation
neck abscess
mediastinal abscess
diagnosis and treatment
