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患儿 女,3个月。因发热5天,口内流诞,进行性呼吸困难1天而入院。检查:T39℃,R35次/分,P130次/分。发育营养正常,神志清晰,烦躁不安,头后仰,吸气性呼吸困难,“三凹症”明显,双肺呼吸音粗,心音清晰,心率130次/分,律齐。专科检查:左侧面部皮肤色淡,左上睑下垂,睑裂小,瞳孔约1mm,光反射存在.咽后壁左侧隆起,表面充血,左侧软腭,腭弓向前移位,穿刺抽出黄白色的脓液,WBC13.6×10~9/L,N0.80,L0.20,诊断:咽后壁脓肿并发Horner综合征。入院后急行咽后壁脓肿切开引流,吸出脓液约7ml,术后于抗生素、激素等对症治疗,5天后出院。
Children with children, 3 months. Due to fever 5 days, Mouth flow, progressive dyspnea and admission for 1 day. Check: T39 ℃, R35 times / min, P130 times / min. Development of normal nutrition, conscious, irritability, head back, breathing breathing difficulties, “three concave disease” significantly, lung breath sounds coarse, clear heart sounds, heart rate 130 beats / min, law Qi. Specialist examination: the left facial skin pale, left upper eyelid ptosis, palpebral fissure small, pupil about 1mm, light reflex exists.After the throat posterior wall bulge, the surface of congestion, the left soft palate, palatal arch forward displacement puncture out of yellow White pus, WBC13.6 × 10 ~ 9 / L, N0.80, L0.20, diagnosis: pharyngeal wall abscess complicated by Horner syndrome. Emergency admission throat posterior wall abscess incision and drainage, suction pus about 7ml, postoperative antibiotics, hormones and other symptomatic treatment, 5 days after discharge.