1例咽旁-颈部脓肿并发低蛋白血症病例分析

摘要/Abstract

摘要： 咽旁-颈部脓肿（parapharyngeal cervical abscess，PCA）是由多种因素引起的颈部间隙内感染性疾病，常继发于颈深部感染，其中咽旁间隙是颈深部感染中常发生的部位。PCA发展迅速，需氧链球菌是最常见致病菌，临床症状主要表现为吞咽疼痛及颈部疼痛，可并发严重的并发症，如气道损伤、颈静脉血栓、纵隔炎、心包炎、肺炎和动脉侵蚀等，危及患者的生命。PCA因缺乏进一步的多中心、大样本研究，早期容易误诊而延误治疗；影像学需通过增强CT辅助诊断，增强CT示脓肿边缘强化最为显著，边缘大多不规则。本研究总结分析我院1例PCA并发低蛋白血症的诊疗经验，以期为临床有效诊治PCA提供证据。

关键词: font-size:medium, ">咽旁-颈部脓肿；低蛋白血症；甲氨蝶呤；皮下气肿

Abstract: Parapharyngeal cervical abscess (PCA) is an infectious disease in the neck space caused by a variety of factors. It is often secondary to deep neck infection， and parapharyngeal space is a space that often occurs in deep neck infection. PCA develops rapidly，and streptococcus aerobes is the most common pathogen. The clinical symptoms of PCA are mainly painful swallowing and neck pain. PCA can be complicated by serious complications，such as airway injury， jugular vein thrombosis， mediastinitis， pericarditis， pneumonia， and arterial erosion and so on，which endangering the life of the patient. Because PCA lacks further multi-center， large-sample research， early misdiagnosis is casy to delay treatment. The imaging needs to be assisted by enhanced CT. The enhanced CT manifestations that the edges of abscesses have the most significant enhancement， and the edges are mostly irregular. This study is based on the diagnosis and treatment experience of 1 case of PCA complicated with hypoproteinemia in our hospital， in order to provide evidence for clinically effective diagnosis and treatment of PCA.

Key words: font-size:medium, ">Parapharyngeal cervical abscess；Hypoproteinemia；Methotrexate； Subcutaneous emphysema

中图分类号:

朱财明, 李世嵘. 1例咽旁-颈部脓肿并发低蛋白血症病例分析[J]. 中国医药导刊, 2021, 23(4): 285-288.

ZHU Caiming, LI Shirong. Analysis of One Case of Parapharyngeal-Cervical Abscess Complicated with Hypoproteinemia[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2021, 23(4): 285-288.

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