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患儿,男,11个月。因发音含糊、进食困难、发热20余天,在当地经抗炎治疗无好转而转入我院。体检:消瘦,精神差,吸奶呛咳,头后仰位,哭声小,发音含糊不清。T39℃,P120次/分。双肺呼吸音粗,咽后壁充血、隆起,呈弥漫性肿胀。住院后诊断为咽后脓肿,切开引流出约20ml脓血性液体。拍颈椎侧位片示颈_(4～)骨质模糊,疑为骨髓炎。全身大量应用抗生素,输血或血浆,每日行咽后脓肿切口扩开排脓。
Children, male, 11 months. Due to vague vomiting, eating difficulties, fever more than 20 days, no improvement in the local anti-inflammatory treatment and transferred to our hospital. Physical examination: weight loss, poor spirits, sucking milk cough, head back position, crying small, vague vague pronunciation. T39 ℃, P120 times / min. Breath sounds coarse lungs, posterior pharyngeal congestion, swelling, was diffuse swelling. After diagnosis of retropharyngeal abscess, incision and drainage of about 20ml pus and blood. Cervical lateral radiographs show neck _ (4 ~) bone blur, suspected osteomyelitis. The body mass application of antibiotics, blood transfusion or plasma, daily line of posterior pharyngeal abscess incision extended drainage.