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目的探讨异物所致颈部脓肿临床特点、诊断及治疗方式,提高对异物所致颈部脓肿的诊治水平。方法回顾性分析3例异物所致颈部脓肿患者并同期所有中、英文类似报道病历资料,共49例。结果 49例中采用手术治疗48例,术中发现并取出异物46例;保守治疗1例;发生呼吸骤停等并发症17例,所有报道病例均治愈出院。结论异物所致颈部脓肿病情危重,并发症较多。结合病史及影像学检查,发现并取出异物,尽早颈部脓肿引流是治疗关键。
Objective To investigate the clinical features, diagnosis and treatment of cervical abscess caused by foreign body and to improve the diagnosis and treatment of cervical abscess caused by foreign body. Methods Retrospective analysis of 3 cases of foreign bodies caused by cervical abscess in patients with the same period all Chinese and English similar reported medical records, a total of 49 cases. Results Of 49 cases, 48 cases were treated surgically, 46 cases were found and removed during operation, 1 case was conservatively treated, and 17 cases of respiratory arrest and other complications occurred. All the reported cases were cured and discharged. Conclusions The abscesses of the neck caused by foreign bodies are in critical condition with more complications. Combined with medical history and imaging examination, the discovery and removal of foreign body, as soon as possible drainage of cervical abscess is the key to treatment.