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首页> 外文期刊>ANZ journal of surgery >Management of paediatric retropharyngeal infections: non-surgical versus surgical.
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Management of paediatric retropharyngeal infections: non-surgical versus surgical.

机译:小儿咽后部感染的处理:非手术与手术。

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摘要

BACKGROUND: Paediatric retropharyngeal infections are a serious infection associated with morbidity. The relative role of medical versus surgical treatment for these infections is debated. The aims of this study were to analyse the management of retropharyngeal infections with respect to radiological assessment and treatment. METHODS: Medical records from January 1999 to June 2005 were reviewed and analysed. RESULTS: Twenty-four children with retropharyngeal infections were included in the study. Computed tomography had a 75% accuracy of correctly identifying an abscess and 36% of the retropharyngeal abscesses resolved with medical treatment alone, with no difference in duration of hospital stay or morbidity. CONCLUSION: Medical treatment of retropharyngeal abscesses has been successful in selected cases. We can recommend this as a viable alternative to surgery and would suggest a 48-h inpatient i.v. antibiotic trial in selected children before considering surgery.
机译:背景:小儿咽后部感染是与发病相关的严重感染。对于这些感染的药物治疗与手术治疗的相对作用存在争议。本研究的目的是就放射学评估和治疗方面分析咽后感染的管理。方法:回顾分析1999年1月至2005年6月的病历。结果:该研究纳入了24例咽后感染儿童。计算机断层扫描能正确识别脓肿的准确率达75%,仅通过药物治疗就能解决咽后脓肿的准确率达36%,住院时间或发病率均无差异。结论:在某些病例中,咽后脓肿的药物治疗是成功的。我们可以建议将其作为手术的可行替代方案,并建议住院48小时的静脉输注。在考虑手术之前,对部分儿童进行抗生素试验。

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