小儿咽后壁脓肿(附20例临床分析)

目的 探讨小儿咽后壁脓肿的致病因素、临床特点、诊断和治疗原则。方法 对近14年来收治的20例咽后壁脓肿进行性分析。结果 本组20例中，切开引流15例，穿刺抽脓5例。除1例伴有颈部广泛蜂窝织炎，呼吸困难时间长致呼吸衰竭死亡外，余19例均治愈。结论 本病多见于婴幼儿，临床症状常较重，易误诊为喉炎、气管料。X线检查对诊断有重要价值。及时引流效果好，并且气管切开是缓解呼吸困难、防止窒息的重要手段。

Diagnosis and management of retropharyngeal abscess in children:clinical analysis of 20 cases

Objective To review the clinical presentation,diagnosis and management of retropharyngeal abscess in clildren.Methods A retrospective study was carried out on 20 children with retropharyneal abscess over the last 14 years.Results Of them,14 underwent surgical drainage and 5 underwent centesis.There was one death from respiratory failure;all the others recovered well.Conclusion Retropharyngeal abscess occurred most commonly in children under 3 years of age.The clinical presentation is often serious,and the case is liable to misdiagnosis.A lateral radiograph of the neck is of important value in making diagnosis.Early surgical drainage and necessary bronchotomy have been proved to be satisfactory.