糖尿病并发咽旁脓肿12例综合治疗

Comprehensive treatment of 12 diabetes patients complicated with parapharyngeal abscess

目的：探讨糖尿病并发咽旁脓肿的临床特点及治疗要点。方法对12例糖尿病并发咽旁脓肿的治疗情况进行分析。结果12例患者均治愈出院，无并发纵隔脓肿、颅内感染及大出血等严重并发症。结论糖尿病并发咽旁脓肿发展快而迅速，必须明确诊断，及时施行脓肿切开排脓，积极控制感染的同时严格控制血糖波动，加强支持疗法。

Objective To investigate the clinical features and treatment points of diabetes patients compli-cated with parapharyngeal abscess .Methods The clinical data of 12 diabetes mellitus patients complicated with parapharyngeal abscess were analyzed .Results 12 patients were all cured and discharged without concurrent medias-tinal abscess ,intracranial infection and serious complications such as bleeding .Conclusion The development of dia-betes mellitus complicated with parapharyngeal abscess is rapid ,we must confirm the diagnosis ,timely implementation of abscess incision and drainage ,effective drainage of pus ,keep the airway open ,actively control the infection at the same time strictly control the fluctuations in blood sugar ,strengthen supportive therapy ,thus to improve treatment and reduce the incidence of complications .