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目的探讨糖尿病(DM)并发咽旁脓肿的临床表现、诊断和治疗要点。方法回顾分析我科收治31例DM并发咽旁脓肿患者的临床资料。结果DM并发咽旁脓肿好发于血糖控制不良的2型DM病人(90.3%)。经颈引流21例,经口引流10例。31例病人全部治愈。结论DM并发咽旁脓肿治疗关键是早期诊断、及时有效引流、控制血糖及合理应用抗生素。经颈引流,宜在CT定位后选择切口。
Objective To investigate the clinical manifestations, diagnosis and treatment of diabetic pharyngeal abscess. Methods The clinical data of 31 patients with DM complicated with parapharyngeal abscess treated in our department were retrospectively analyzed. Results DM complicated with parapharyngeal abscesses developed in type 2 DM patients with poor glycemic control (90.3%). 21 cases of cervical drainage, oral drainage in 10 cases. All 31 patients were cured. Conclusion The key to the treatment of DM with parapharyngeal abscess is early diagnosis, timely and effective drainage, blood sugar control and rational use of antibiotics. Drainage by the neck, should choose the incision after CT positioning.