| 面颈部猫抓病的临床表现和治疗 |
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| 引用本文： | 徐剑波,张帆,曹志敏,董翠芳. 面颈部猫抓病的临床表现和治疗[J]. 中国耳鼻咽喉头颈外科, 2004, 11(6): 353-354 |
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| 作者姓名： | 徐剑波 张帆 曹志敏 董翠芳 |
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| 作者单位： | 安徽省阜阳肿瘤医院头颈外科,安徽,阜阳,236018;皖南医学院附属弋矶山医院临床病理科,安徽,弋矶山,241001 |
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| 摘 要： | 目的对面颈部猫抓病的临床表现、诊断和治疗进行探讨。方法对1997￣2002年治疗的25例面颈部猫抓病患者的临床症状和体征、病理表现及治疗进行比较分析。其中男性17例,女性8例;年龄2￣26岁。结果14例无明显临床症状,11例出现全身症状如发热等,5例累及多个淋巴结;手术15例;切开排脓5例其中有4例出现创面愈合速度慢。结论猫抓病诊断较困难,临床医师往往做不出猫抓病的诊断。该病手术效果较好,但切开排脓要慎重。
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| 关 键 词： | 猫抓病 上颌面部损伤 诊断 |
| 修稿时间： | 2003-10-09 |
Clinical characteristics and treatment of patients with cat-scratch disease of maxillofacial and neck region |
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| XU Jianbo,ZHANG Fan,CAO Zhimin,DONG Cuifang. Clinical characteristics and treatment of patients with cat-scratch disease of maxillofacial and neck region[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2004, 11(6): 353-354 |
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| Authors: | XU Jianbo ZHANG Fan CAO Zhimin DONG Cuifang |
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| Affiliation: | XU Jianbo1,ZHANG Fan2,CAO Zhimin1,DONG Cuifang1 |
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| Abstract: | OBJECTIVE To study the characteristics, diagnosis and treatments of cat-scratch disease of ma- xillofacial and neck region. METHODS Clinical symptoms, physical signs, pathologic presentations, and therapeutic effects were analyzed in 25 patients with cat- scratch disease from 1997 to 2002. There were 17 males and 8 females, age ranged from 2 to 26 years old. R E S U L T S Most of the lesions (14 cases) were subclinical, 11 cases had constitutional symptoms (fever et al), 5 cases had complicated lymph nodes. 15 cases were undergone surgeries. 5 cases had incisions and drainages, 4 cases had delayed recovery of the epider- mal wound. CONCLUSION Cat-scratch disease is very difficult to diagnose. Clinician often miss the diagnosis. The effect of therapeutic resection was excellent. But incision and drainage should be cautiously used. [ |
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| Keywords: | Cat-Scratch Disease Maxillofacial Injuries Diagnosis |
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