食管后間隙膿腫的臨床診治分析
[Abstract]:Objective: to investigate the clinical manifestation and treatment of posterior esophageal space abscess. Methods: the clinical data of 27 patients with abscess of the posterior space of esophagus were retrospectively analyzed. 21 cases (77.78%) were secondary to foreign body injury at the entrance of acute esophagus, 2 cases (7.41%) were secondary to infection of foreign body in the old posterior space of esophagus, and 21 cases (77.78%) were secondary to foreign body injury at the entrance of esophagus. 3 cases (11.11%) were secondary to retropharyngeal abscess, 1 case (3.70%) had unknown cause. All patients were diagnosed by tomographic examination. Among them, 6 patients underwent conservative treatment (conservative group), 6 patients underwent endopharyngeal incision and purulent operation (endopharyngeal group), and 15 patients underwent incision and purulent negative pressure drainage via external cervical incision (extracervical group). Results: all 6 cases were cured in conservative group, the average hospitalization time was 15.6 days, in the endopharyngeal group, 5 cases were cured, among them 2 cases had inhaled pneumonia complicated with septic shock. The remaining 1 case died of septic shock with mediastinal abscess and lung abscess, the average hospitalization time was 18.8 days in this group, and all the patients in the extra cervical group were cured without complications, and the average hospitalization time was 9.5 d. Conclusion: the injury of upper esophageal foreign body and the residual foreign body in the posterior esophageal space are the main inducement of posterior esophageal space abscess. Computed tomography can fully display the abscess of the posterior esophageal space and other deep cervical spaces, which is of great value in the diagnosis and treatment. Incision and purulent negative pressure drainage via external cervical incision is an effective treatment method, and aspiration-induced aspiration pneumonia is not recommended as the first choice of treatment because of the poor effect of aspiration-induced aspiration through the endopharyngeal incision and the negative pressure drainage through the external cervical incision, and the negative pressure drainage through external cervical incision is an effective treatment. Conservative treatment is also a choice for some patients without dyspnea, but it is necessary to pay attention to the early recognition and management of severe complications.
【作者單位】： 高州市人民醫(yī)院耳鼻咽喉科;
【分類(lèi)號(hào)】：R768.32
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