General treatment: for patients with fever, physical cooling methods such as 75% alcohol bath and head ice pack can be used to improve. Actively treat nasopharyngeal diseases and related systemic diseases, such as rhinitis. Enhance physical fitness, improve immunity, try to quit smoking and drinking, keep enough sleep, and combine work and rest. Improve the working environment and reduce smoke inhalation. Drug treatment: Antiviral drugs are suitable for people infected by virus, and antiviral drugs such as acyclovir can be used appropriately. Penicillin is suitable for patients with severe bacterial infection. Penicillin is the first choice, and more sensitive antibacterial drugs should be replaced at any time according to the results of drug sensitivity test. Compound chlorhexidine gargle and compound borax solution: suitable for all patients with pharyngitis. Applying 1% iodine glycerin to pharyngeal wall can improve local blood circulation and promote gland secretion. Vitamins include vitamin A, vitamin B2, vitamin C and vitamin E, which can promote the growth of mucosal epithelium and are suitable for atrophic pharyngitis. Surgical treatment: Usually pharyngitis does not need surgical treatment, but if the lesion involves the throat, breathing is difficult and life-threatening, it should be treated as angioneurotic edema and tracheotomy is needed. Other treatments: laser therapy and hypothermia therapy are suitable for chronic hypertrophic pharyngitis. If lymphatic follicular hyperplasia is extensive, it should be treated in stages, and the treatment range should not be too wide.
First, the examination of acute pharyngitis showed diffuse congestion and swelling of mucosa, edema of palatal arch and uvula, swelling of lymph follicles and lateral pharyngeal cord in posterior pharyngeal wall, yellow-white punctate exudate on the surface, swelling and tenderness of mandibular lymph nodes. Chronic pharyngitis is characterized by mucosal congestion, scattered lymphatic follicles in the posterior pharyngeal wall, and a small amount of viscous secretions attached to the mucosal surface. If the lymphatic follicles in the posterior pharyngeal wall proliferate obviously and the lateral pharyngeal cord is hyperemia and hypertrophy, it is considered as hypertrophic pharyngitis. If the mucous membrane is dry, atrophic, pale and has a smelly yellowish-brown scab, it is considered as atrophic pharyngitis.
Second, the white blood cell count of bacterial infection, neutrophil count and lymphocyte count of virus infection increased in routine blood examination. Pharyngeal swab culture can cultivate pathogenic bacteria for etiological diagnosis, and bacterial drug sensitivity test can screen out drugs with therapeutic effect on pathogenic bacteria, which is helpful for doctors to make treatment plans.
Thirdly, laryngoscope or other examinations can be used to observe the examination of the throat, and at the same time, we can see whether the lesion has invaded other tissues.