咽峡炎后败血症又称Lemierre综合征(下简称本征),好发于原先健康的青少年,由急性口咽感染后引起,继发颈内静脉化脓性血栓性静脉炎,并发多处迁徙性感染。于抗生素应用年代前,大多数病人以死亡告终。本文作者报道见于1986年的本征2例,连同1974年以来见诸文献36例进行分析,并对1974年前的病例作一简要回顾。抗生素使用年代前,有许多关于本征的报道,此中以1936年由Lemirre所分析的20例最有代表性,其特点是:1.始发病因为扁桃体或扁桃体周围脓肿。2.4～5天后出现败血症伴高热及强度寒战。3.颌下淋巴腺常肿大,颈旁从下颌角到锁骨沿胸锁乳突肌有压痛。4.远处迁徙性脓肿常见于肺部的肺梗塞伴脓 After angina post-sepsis, also known as Lemierre syndrome (hereinafter referred to as intrinsic), occurs in the original healthy adolescent, caused by acute oropharyngeal infection, secondary to jugular thoracic suppurative thrombophlebitis complicated by multiple migratory infection. Before the age of antibiotic use, most patients ended in death. The authors report two cases of intrinsic evidence found in 1986, together with 36 articles reviewed since 1974, and a brief review of pre-1974 cases. There are many reports of eigencosts prior to the age of antibiotic use, of which the most representative of the 20 cases analyzed by Lemirre in 1936 are characterized by: 1. The initial cause is an abscess around the amygdala or tonsils. Septicemia with high fever and intensity chills after 2.4 to 5 days. Submandibular lymph glands often swollen, neck from the mandibular angle to the clavicle along the sternocleidomastoid tenderness. 4. distant migratory abscess common in the lungs with pulmonary infarction pus