最近审阅: 4 十一月 2020
最近更新: 31 七月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 声嘶
  • 吞咽困难
  • 咽痛
  • 吞咽痛
  • 咳嗽
  • 口咽充血
  • 用声过度病史
  • 胃食管反流
  • 口咽灰白色伪膜

其他诊断因素

  • 鼻炎
  • 乏力和不适感
  • 发热
  • 扁桃体肥大
  • 颈前淋巴结肿大且有触痛
  • 鼻后滴漏
  • 呼吸困难
  • 体重减轻
  • 扁桃体咽部渗出
  • 急性呼吸窘迫
  • 呈中毒貌
  • 流涎
  • 喘鸣

危险因素

  • 近期有上呼吸道感染病史
  • 未完成B型流感嗜血杆菌(Hib)疫苗接种
  • 未完成白喉疫苗接种
  • 与感染患者接触
  • 去白喉或结核流行地区旅游
  • HIV或其他免疫抑制
  • 养老院中的人群
  • 皮质类固醇雾化或长期应用抗生素
  • 用声过度
  • 吸烟

诊断性检查

需考虑的检查

  • 喉镜下取活检
  • 口咽分泌物培养
  • 鼻拭子培养
  • 针对白喉行血清免疫沉淀、聚合酶链反应或免疫层析法检查
  • 全血细胞计数 (FBC)
  • 快速抗原检测
  • 胸部 X 线检查 (CXR)
  • 痰培养
  • 结核菌素实验(PPD)
  • 频闪喉镜检查
更多 需考虑的检查

治疗流程

撰稿人

Clinical Faculty

Laryngeal surgeon and general otolaryngologist

Austin ENT Clinic

Austin

Texas

利益声明

CWW declares that he has no competing interests.

Chief

Section of Laryngology and Voice Surgery

Associate Professor

Division of Otolaryngology - Head and Neck Surgery

University of Wisconsin School of Medicine and Public Health

Madison

WI

利益声明

SHD declares that he has no competing interests.

Dr Chad W. Whited and Dr Seth H. Dailey would like to gratefully acknowledge Dr Ozlem E. Tulunay-Ugur, a previous contributor to this topic. OETU declares that she has no competing interests.

同行评议者展开全部内容

Director

Assistant Professor

Emory University

Atlanta

GA

利益声明

MJ declares that he has no competing interests.

Chair; Professor

University of Arkansas for Medical Sciences

Department of Otolaryngology - Head and Neck Surgery

Little Rock

AR

利益声明

JS declares that he has no competing interests.

Otolaryngologist

Head and Neck Surgeon

VU University Medical Center

Amsterdam

The Netherlands

利益声明

RdB declares that he has no competing interests.

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