In-hospital mortality was 65% by conservative therapy while it was 3.85% by surgical treatment.

保守治疗的住院死亡率高达65%，外科手术治疗的住院死亡率仅3.85%。

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Conclusions: Functional neck dissection is a better surgical approach than traditional regional excision for the treatment of patients with MCTLP after ineffective conservative therapy.

结论：多发性颈淋巴结核患者保守治疗无效后施行功能性区域颈淋巴结清扫术，效果明显，优于颈部淋巴结核病灶清除术。

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If conservative therapy fails or typical signs of peritonitis are present, aggressive surgical intervention would be the best choice.

如果行胃肠减压不见好转或有明确的腹膜炎体征应积极手术治疗。

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