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急性咽後間隙膿瘍에 倂發한 側咽頭間隙膿瘍, 縱隔洞膿瘍 및 膿胸의 治驗例 Acute Retro Pharyngeal Space Abscess Associated with Lateral Pharyngeal Space Abscess, Mediastinal Abscess and Pyothorax

대한이비인후-두경부외과학회지 1977년 20권 2호 p.89 ~ 95
조중환, 류태현,
소속 상세정보
조중환 (  ) 
메리놀병원 이비인후과

류태현 (  ) 
메리놀병원 이비인후과

Abstract


We have successfully treated 18 months old male for lateral pharyngeal abscess, mediastinal abscess, and pyothorax both following retropharyngeal space abscess of staphylococcus aureus.
Retropharyngeal space abscess-is different from prevertebral space abscess in pathogenesis and clinical course.
Antibiotics have markedly decreased the incidence of retropharyngeal space abscess, made the diagnosis more difficult because of their masking effect on the classical signs and caused a significant change in the character of deep peck infections. The surgeon must be ever on. the alert to these problems and must not allow himself to fall lax with subsequent dire consequences.
Possible complications of retropharyngeal space abscess are: mediastinitis, thrombosis of the internal jugular vein, aspiration pneumonia, asphyxia, erosion of the carotid artery followed by a possible rupture of the artery and septicemia.
We cannot rely entirely on medical therapy but sound surgical therapy based on applied anatomy is Low more important than ever.

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