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紫绀、打鼾、咽痛、拒食、呼吸困难、烦躁不安、发热伴寒战、窒息、颈部淋巴结肿大、脓肿
Retropharyngeal abscess is infection of the retropharyngeal space (children <6 y), presenting with fever, neck pain/stiffness, drooling, muffled voice, torticollis, and risk of airway obstruction/mediastinitis. Treatment: secure airway if needed; IV anti-staph/strep antibiotics (clindamycin/ceftriaxone); urgent drainage (transoral/transcervical); cultures; monitor for mediastinitis/airway compromise; CT to define extent; pediatric ENT.
Fever; neck pain/stiffness; drooling/muffled voice; torticollis; young child
Upper-respiratory infection spreads to retropharyngeal nodes, forming abscess; risk of airway/mediastinal extension.
Airway; IV antibiotics; urgent drainage; cultures; monitor complications
Prompt treatment of URI; avoid pharyngeal trauma.
It is recommended to visit the ENT-Pediatrics-Emergency department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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