扁桃体周围脓肿是常见的颈深部脓肿,并发“鼻中隔脓肿”和“脓毒败血症”实属罕见,现将我院所遇一例报告如下。患者女,7岁。咽痛、发烧、张口困难1周伴鼻塞3天于1989年1月3日入院。无外伤史。入院前曾用多种抗生素治疗无效,当时鼻腔检查无异常。入院查:T39.2℃,神萎,流涎多,张口一指半;右侧舌腭弓及软腭明显充血肿胀,扁桃体向中线移位;鼻中隔也见红肿,并堵塞双侧鼻腔,其它全身检查及胸透均无明显异常。血象:Hb110g/L,WBC15×10~9/L,N0.80,L0.20。入院诊断:(1)右扁桃体周围脓肿;(2)鼻中隔脓肿。入院后即在天麻下行脓肿切开引流术,引流出大量脓性分泌物。术后多次扩创,同时给予 Tonsillar abscess is a common neck deep abscess, complicated by “nasal septum abscess” and “septic sepsis” is rare, now a case of hospital encounter is reported as follows. Female patient, 7 years old. Sore throat, fever, mouth pain 1 week with nasal congestion 3 days in January 3, 1989 admission. No history of trauma. A variety of antibiotics before admission was ineffective, nasal examination was normal. Admission examination: T39.2 ℃, Shenwei, salivation and more than one half of the mouth; right palatal and soft palate bowel significantly congestion and swelling, tonsil shift to the midline; nasal septum also see inflamed, and plug the bilateral nasal cavity, other systemic examination And no obvious abnormal chest X-ray. Blood: Hb110g / L, WBC15 × 10 ~ 9 / L, N0.80, L0.20. Admission diagnosis: (1) right tonsil abscess; (2) nasal septum abscess. Immediately after admission, abscess incision and drainage in Tianma, drainage of a large number of purulent secretions. Repeated multiple postoperative wounds, given at the same time