Retropharyngeal abscess in children: A retrospective and historical analysis
Retropharyngeal abscess in children: A retrospective and historical analysis
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儿童咽后脓肿：回顾性历史分析
DOI：
10.1288/00005537-198806000-00001
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
Seymour R. Cohen
中科院分区：
文献类型：
--
作者：
Jerome W. Thompson;Phyllis Reddk;Seymour R. Cohen
回顾了 65 名诊断为咽后脓肿的儿科患者的病历。这些代表了 36 年治疗该疾病的经验。这些发现与世纪之交的记录进行了比较，也与过去四十年的发现进行了比较。数据表明，咽后脓肿可能发生在儿童后期，并且之前可能并不总是有可检测到的重大感染。不到一半的患者出现咽后膨隆和颈部僵硬的经典诊断结果。与过去相比，革兰氏阴性和厌氧微生物在培养物中的记录更加频繁。我们推测，入院前大量使用口服抗生素可能会带来这些变化。
The charts of 65 pediatric patients with the diagnosis of retropharyngeal abscess were reviewed. These represented a 36‐year experience with the disease. The findings were compared with those documented at the turn of the century and were also compared with findings over the last four decades. The data suggests that retropharyngeal abscess may be occurring later in childhood and may not always be preceded by a major detectable infection. Classic diagnostic findings of retropharyngeal bulge and neck stiffness were present in less than half of the patients. Gram‐negative and anaerobic organisms are being documented on culture more frequently than in the past. We theorize that liberal use of oral antibiotics prior to admission may have brought about these changes.