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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Diagnosis of Retropharyngeal Abscess using Point of Care Ultrasound
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Diagnosis of Retropharyngeal Abscess using Point of Care Ultrasound

机译：使用护理点超声诊断逆床脓肿

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摘要

Point Of Care Ultrasound (POCUS) is a new concept and practice recently introduced into the clinical practice of medicine.It is commonly used by emergency and critical care physicians to help identify clinically signifcant as well as life-threateningpathologies. Retropharyngeal Abscess (RPA) can be presented in vague ways, and bedside Ultrasonography (USG) can aid in quickdiagnosis, however it has been very rarely reported. This is a case report of a patient who presented with sore throat, fever andperitonsillar discharge. Neck USG showed a complex multi-loculated collection lateral to the thyroid gland and posterior to the rightcarotid artery (transverse view), a linear collection with anechoic center between the pharynx and cervical spine (longitudinal view),and a swirling phenomenon with respiration and swallowing as well as with carotid pulsation. CT scan showed retropharyngealabscess with mediastinal extension. Possible aetiologies include spread from tonsillitis, dental abscess, pharyngeal or upperrespiratory infection. It was treated with antibiotics and surgical drainage. The patient made a good recovery, and the collectionresolved on repeat CT imaging.
机译：护理点超声（POCUS）是最近引入了医学临床实践的新概念和实践。常常用紧急和关键护理医生使用，以帮助识别临床意义和生命威胁性的植物。逆床脓肿（RPA）可以用模糊的方式呈现，床边超声检查（USG）可以帮助QuickDiagnosis，然而它已经很少报道。这是一个患者患有喉咙痛，发烧Andperitonsillar放电的病人的病例报告。颈部USG向甲状腺和右侧视图（横向视图）显示复杂的多定位收集横向，并在咽部和颈椎之间具有ANECHOCE中心的线性收集，以及具有呼吸和吞咽的旋流现象以及颈动脉脉动。 CT扫描显示媒体延伸媒体术。可能的缓解药物包括从扁桃体炎，牙齿脓肿，咽部或患者感染蔓延。它被抗生素和手术引流治疗。患者的恢复良好，并在重复CT成像时系列溶解。

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