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例1 男,3岁。下咽部被竹棍戳伤后6天,发热,颈强直2天急症入院。检查:T37.9℃,P186次/分,R28次/分,重度吸气性呼吸困难,紫绀,头极度后仰。口咽后壁略肿胀。颈部侧位x线片示咽后壁软组织明显增厚。立即行气管切开术,直达喉镜下见下咽后壁隆起触之有波动感,切开引流出腐臭脓液约15ml,细菌培养为产气杆菌。全身应用抗生素。入院后第10天体温升到39.5℃,套管内痰液增多,右颈部肿胀,压痛。胸片示上纵隔加宽,诊断为上纵隔脓肿。在静脉麻
Example 1 male, 3 years old. Hypothyroidism was stabbed 6 days after the bamboo sticks, fever, neck 2 days emergency hospital admission. Check: T37.9 ℃, P186 beats / min, R28 beats / min, severe aspirated breathing difficulties, cyanosis, the first extreme head back. Eustachian wall slightly swollen. Neck x-ray film showed soft throat thickening. Immediate tracheotomy, direct laryngoscopy see hypopharyngeal wall uplift touched a wave of flu, incision and drainage of pus about 15ml of pus, bacterial culture for Aerobacterium. Systemic antibiotics. On the 10th day after admission, the body temperature rose to 39.5 ° C, increased sputum in the cannula, swelling of the right neck and tenderness. The chest radiograph showed a widened mediastinum and was diagnosed as an upper mediastinum abscess. In the vein hemp