Puncture lavage treatment 65 cases of peritonsillar abscess.doc

 PAGE \* MERGEFORMAT 9 Puncture lavage treatment 65 cases of peritonsillar abscess Keywords: puncture lavage tonsil abscess Peritonsillar abscess is a common ENT emergency, treatment with systemic antibiotics, abscess incision and drainage plus. Authors from January 1995 to December 2005 using maxillary sinus puncture needle pus, metronidazole lavage in treatment of peritonsillar abscess in 65 cases, significant effect, the report is as follows. A clinical data 1.1 General Information 65 patients in 38 cases of male and female 27 cases; aged 7 to 56 years, with an average age of 21. Onset time of 1 ~ 7d, an average of 2.6d. All cases were unilateral, 36 cases of left, right 29 cases, there is a history of acute tonsillitis in 14 cases, manifested as unilateral sore throat, fever, mouth opening is limited, eating difficulties; check see ipsilateral pharyngeal congestive swelling, the upper part of the tongue and soft palate swelling palatal arch uplift, within the tonsils pushed below the uvula congestion and edema, move to the opposite side. 1.2 Methods Early use of high-dose intravenous infusion of broad-spectrum antibiotic metronidazole, systemic symptoms of severe cases, intravenous injection dexamethasone, while sufficient heat to maintain water and electrolyte balance and symptomatic treatment. Abscess formation after the imposition of the most elevated puncture needle into the maxillary sinus puncture is generally located at the root of the horizontal and ipsilateral uvula tongue palatal arch free edge of the bottom of the intersection of the vertical line in one hand and control the depth of the fixed needle in one hand and withdraw sword to stop when there is pus carried out after the extraction of net pus equivalent to 0.5% metronidazole lavage Vomica no obvious pus, the next day and then lavage 1. 2 Results Were taken at the day after the puncture lavage significantly reduced systemic and lo