【摘要】：目的：分析NC的臨床特征、早期診斷、治療手段，促進(jìn)相關(guān)的衛(wèi)生宣傳，加強保健意識，加強預(yù)防，減少病人住院天數(shù)，減少發(fā)病率，提高疾病治愈率。 方法：收集本院2012年9月-2015年3月NC患者21例，整理臨床數(shù)據(jù)，采取回顧性分析的統(tǒng)計學(xué)方式研究、分析NC診斷與治療，對比其微創(chuàng)治療方式與傳統(tǒng)治療方式。 結(jié)果：21例NC患者其中男11例，女性患者10例，年齡20～74歲，，好發(fā)于46-60歲。最少的住院天數(shù)為2天，最多的住院天數(shù)為50天；平均住院天數(shù)為10.2天。納入標(biāo)準(zhǔn)（至少具備其中1項臨床癥狀）：頸部與顏面部異常腫脹，呼吸窘迫，吞咽困難并有疼痛感，發(fā)熱�？偣彩占疦C樣本21例，其中5例（23.8%）是由于牙源性病變誘發(fā)感染；4例（19.0%）是由于急性扁桃體炎；6例（28.5%）是由于頭頸部特異性感染，其他頭頸部局部非特異性感染性疾病引起者6例（占28.5%）。高血壓患者為5例，糖尿病患者為10例，高血壓、糖尿病患者為3例。經(jīng)超聲引導(dǎo)下多點穿刺引流術(shù)等綜合治療后全部治愈。 結(jié)論：NC的微創(chuàng)多點超聲下穿刺引流的治療效果非常好，減少病人住院天數(shù)，減輕病人的痛苦，有效的解決了需要切開引流，每天換藥沖洗的給患者帶來的痛苦。一般留置兩根或多根引流管，形成對流的效果，有效的保證了引流的通暢，可以減少患者的換藥及更換引流條的痛苦，縮短了病程，解決了切開后的切口愈合問題，減少了切開后的較重感染的可能，并且在經(jīng)濟方面減少了患者的住院費用，減輕了患者切開的痛苦，減小了手術(shù)切開的風(fēng)險。
[Abstract]:Objective: to analyze the clinical characteristics, early diagnosis and treatment of NC, promote related health publicity, strengthen health care awareness, strengthen prevention, reduce patient hospitalization days, reduce morbidity, and improve the cure rate of the disease. Methods: 21 patients with NC were collected from September 2012 to March 2015. The clinical data were collected. The diagnosis and treatment of NC were analyzed by retrospective statistical analysis. The minimally invasive treatment and the traditional treatment were compared. Results: 21 patients with NC were 11 males and 10 females, aged 20 to 74 years. The minimum hospitalization days were 2 days, the maximum hospitalization days were 50 days, and the average hospitalization days were 10.2 days. Inclusion criteria (with at least one clinical symptom): abnormal swelling of neck and face, respiratory distress, dysphagia and pain, fever. A total of 21 cases of NC were collected, of which 5 cases (23.8%) were caused by odontogenic diseases, 4 cases (19.0%) were caused by acute tonsillitis, 4 cases (19.0%) were caused by acute tonsillitis. 6 cases (28.5%) were caused by specific infection of head and neck, 6 cases (28.5%) were caused by non-specific infectious diseases in other parts of head and neck. There were 5 cases of hypertension, 10 cases of diabetes, 3 cases of hypertension and 3 cases of diabetes. All the patients were cured by ultrasound-guided multi-point puncture and drainage. Conclusion: the treatment of NC with minimally invasive multi-point ultrasound puncture and drainage is very effective. It can reduce the hospitalization days, alleviate the pain of patients, and effectively solve the pain caused by the need of incision and drainage and daily change of dressing and washing. Generally, two or more drainage tubes are placed to form convection effects, which can effectively ensure the smooth drainage, can reduce the pain of changing medicine and replacing drainage strips, shorten the course of disease, and solve the problem of wound healing after incision. It reduces the risk of severe infection after incision, and reduces the cost of hospitalization, the pain of incision, and the risk of surgical incision.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R653

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