PDF(Pubmed)
Abstract：
Bleeding into the retropharyngeal region in children is an unusual cause of acute upper airway obstruction. Even in the absence of known risk factors or aetiology, this rare entity should be considered as one of the differential diagnoses of retropharyngeal swellings in children. Prompt surgical intervention is required whenever rapid progression to airway obstruction is observed. In this case report, we present an 18-month-old girl previously managed as upper respiratory tract infection, who presented with progressive dysphagia, drooling and eventually airway obstruction with stridor and respiratory distress. Conservative prolonged airway protection by intubation or tracheostomy was averted by an emergency incision and drainage of the haematoma. There was complete resolution by the second week and no recurrence reported at follow-up 18 months later.
摘要：
儿童咽后区域出血是急性上呼吸道阻塞的不寻常原因。即使没有已知的危险因素或病因，这种罕见的疾病应被视为儿童咽后肿胀的鉴别诊断之一.每当观察到气道阻塞的快速发展时，都需要及时的手术干预。在这个案例报告中,我们介绍了一个18个月大的女孩，以前是上呼吸道感染，出现进行性吞咽困难的人，流口水，最终气道阻塞伴有喘鸣和呼吸窘迫。通过紧急切开和引流血肿，避免了通过插管或气管造口术进行保守的长期气道保护。到第二周完全消退，18个月后随访时未报告复发。
