最近审阅: 24 十月 2020
最近更新: 05 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在危险因素
  • 峰形热
  • 颈痛或斜颈
  • 吞咽痛
  • 吞咽困难
  • 颈部肿胀/肿块/淋巴结肿大
  • 口咽部肿胀
  • 流涎

其他诊断因素

  • 饮食摄入减少
  • 厌食
  • 不适感
  • 易激惹
  • 张口困难
  • 发声困难
  • 呼吸困难
  • 疲劳
  • 睡眠呼吸暂停
  • 喘鸣
  • 扁桃体肿大
  • 呼吸频率增加
  • 氧饱和度下降
  • 发绀
  • 呼吸急促
  • 气管牵拽
  • 肋间凹陷

危险因素

  • 异物摄入
  • 咽后壁创伤
  • 龋齿/感染
  • 糖尿病
  • 男性
  • 腺样体扁桃体切除术

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 红细胞沉降率
  • 颈部 CT 增强造影
  • 颈部 X 线检查
  • 颈部超声检查
  • 麻醉状态下检查 (EUA)
  • 培养
更多 首要检查

治疗流程

撰稿人

Carl Philpott

Consultant in ENT & Rhinology

James Paget University Hospital

Great Yarmouth

UK

利益声明

CP is an author of a number of references cited in this topic and provides consultancy for Sanofi. 

Speciality trainee

Department of ENT

James Paget University Hospital

Norwich

UK

利益声明

KH declares that he has no competing interests.

Dr Carl Philpott and Dr Kristian Hutson would like to gratefully acknowledge Dr Lorna Langstaff, Dr Asad Qayyum, Dr Kevin Kulendra, Dr Cameron Davies-Husband, and Dr Marcos Martinez Del Pero, previous contributors to this topic. LL, AQ, KK, CDH, and MMDP declare that they have no competing interests.

同行评议者展开全部内容

Otolaryngologist

Head and Neck Surgeon

VU University Medical Center

Amsterdam

The Netherlands

利益声明

RdB declares that he has no competing interests.

Director

Assistant Professor

Emory University

Atlanta

GA

利益声明

MJ declares that he has no competing interests.

Assistant Professor

Tufts University

Boston

MA

利益声明

LS declares that she has no competing interests.

内容使用需遵循免责声明