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目的:总结年长儿童咽后壁脓肿误诊体会。方法:回顾性分析13例年长儿童咽后壁脓肿的临床表现及误诊经过。结果:13例首诊儿科全部误诊,误诊3~5 d 10例,5 d以上3例。本组经影像学检查、耳鼻喉科会诊,转科后手术治疗,全部治愈。结论:年长儿童咽后壁脓肿无婴幼儿凶险,诊断相对较婴幼儿容易,但首诊儿科仍易误诊,应当高度重视。
Objective: To summarize the experience of misdiagnosis of pharyngeal abscess in older children. Methods: Retrospective analysis of 13 cases of elderly children with posterior pharyngeal abscess clinical manifestations and misdiagnosis. Results: All 13 cases were misdiagnosed as first pediatrics, 10 cases were misdiagnosed as 3 ~ 5 days and 3 cases were more than 5 days. The group by imaging examination, otolaryngology consultation, surgical treatment after surgery, all cured. Conclusion: The elderly children with posterior wall abscess no risk of infants and young children, the diagnosis is relatively easier than infants and young children, but the first diagnosis of pediatric department is still easy to misdiagnosis, should attach great importance.