Acute suppurative thyroiditis diagnosis and treatm

e707004304 · Wysłany: Nie 1:09, 06 Mar 2011

Acute suppurative thyroiditis diagnosis and treatment of

Barium swallow imaging to determine the pyriform sinus fistula, or endoscopic intubation under direct vision in the throat recognized piriform sinus fistula, which is the treatment and prevention of the recurrence of disease is important. AST once diagnosed should be actively given antibiotic therapy and requires early surgery. AST confirmed previous literature,[link widoczny dla zalogowanych], mostly pathogenic bacteria Gram positive cocci J, recently reported negative bacilli or anaerobic bacteria account for a large proportion. Therefore, the choice of antibiotics should take into account the anaerobic and aerobic bacteria. AST sclerosis patients with superficial tissue is often infiltrated and, therefore, the surface of the skin abscess often no swelling, a sense of volatility even abscess formation is not readily detectable, B-hypoechoic mass under the usually presents. Therefore, the sustained high fever, local pain did not alleviate the patient should be diagnosed with needle aspiration,[link widoczny dla zalogowanych], if it is found abscess incision and drainage should be immediately, or abscess can lead to asphyxiation or compression of the trachea trachea breaking abscess, esophagus, mediastinum. The 5 cases underwent incision and drainage,[link widoczny dla zalogowanych], and cured by dressing. Not a simple incision and drainage is also advocated, should be removed thyroid lobe fistula or illness in order to avoid recurrence or the formation of long-term healing of the fistula. Of abscess that is not appropriate line of severe adhesions or fistula gland lobectomy, due to local anatomy is unclear,[link widoczny dla zalogowanych], easy to damage the throat, the recurrent laryngeal nerve,[link widoczny dla zalogowanych], and high ligation of the fistula is not appropriate, it may lead to inflammation of proliferation and increased blood loss; should be fully drainage of the inflammation subsided, the formation of fistula may swallow barium to see whether pyriform fistula and fistula imaging line, and then complete surgery.