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喉脓肿现在已很少见,以前常见之于伤寒病程的第三或第四周,概由于患者抵抗力降低,化脓菌由口腔侵入引起败血症。Jackson提到喉脓肿的病因,通常是由于人体抗感染屏障破坏的结果,好发于创伤或全身性疾病使患者抵抗力下降时。最常见的感染病原是溶血性链球菌,其次是病毒,其他化脓菌也可存在,数量多少不等。从病理上可分二类:软组织病变和继发于软骨膜炎及软骨炎后的软骨坏死。临床症状为患者有咳嗽和声嘶,声音变粗而低沉,还可能有吞咽疼痛。病情进行性加重,很快发展到窒息但很少有缺氧挣扎情况。虽然喉X线照相可能有帮助,但直接喉镜检查即可明确诊断,确定治疗方案。为了解除上呼吸道梗阻可先行气管切开术,同时在直接
Throat abscess is now very rare, previously common in the third or fourth week of the course of typhoid, probably due to reduced patient resistance, pyogenic bacteria caused by oral intrusion caused by sepsis. Jackson mentions the etiology of laryngeal abscesses, usually as a result of the body’s anti-infective barrier disruption, which occurs when traumatic or systemic disease reduces patient immunity. The most common pathogen of infection is hemolytic streptococcus, followed by the virus, other pyogenic bacteria can also exist, the number of varying. From the pathological can be divided into two categories: soft tissue lesions and secondary to perichondritis and cartilage necrosis after chondritis. Clinical symptoms for patients with cough and hoarseness, thick and thick voice, but also may have swallowing pain. Progressive increase in the disease, and soon developed to suffocation but few hypoxia struggling. Although throat radiography may help, but direct laryngoscopy can confirm the diagnosis, determine the treatment options. In order to relieve upper airway obstruction can be tracheotomy, while in direct