摘要
1病例报告例1女,6岁,汉族,以“反复咽痛、发热2年”入院,母亲代诉患儿受凉吃冷饮后反复出现“扁桃体化脓”并伴有高热,最高体温达40P,平均2~3个月发作1次,无心慌、四肢酸痛,多次社区卫生所静脉输液抗炎治疗,此次入院要求切除扁桃体,1个月前有急性扁桃体炎发作病史。入院体检:T 36t,P 92次/min.BP:73/52 mmHg(1mmHg=0.133 kPa)o心肺腹正常,肝脾未触及,四肢活动良好。
The necks of two young patient can’t moved around the plane after tonsillectomy. CT of atlantoaxial bone showed that the anatomy of atlantoaxial joint had been turned upside down. It is an extremely rare entity and very few have been reported in the literature. The reasons and specific mechanisms of atlantoaxial dislocation are the result of the aspects of anatomy of atlantoaxial joint and surrounding structures, biomechanics and histology. The patients have been cured by the raise neck as pinned and gived Anti-inflammatory. Atlantoaxial dislocation is difficult to be distinguish in the complication. It may lead to serious consequences in sometimes. When the event occurs medical staff has to take effect way to treat immediately. This point should be considered by medical staff.
作者
赵喜红
王运升
ZHAO Xihong;WANG Yunsheng
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2019年第11期1099-1101,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
扁桃体切除术
寰枢关节
脱位
tonsillectomy
atlantoaxial joion
dislocations
