口腔颌面颈部多间隙感染63例

doi:10.6040/j.issn.1673-3770.0.2019.559

摘要/Abstract

摘要： 目的探讨分析口腔颌面颈部多间隙感染的临床特点和诊疗方法。方法对2013年12月至2018年8月收治的63例口腔颌面颈部多间隙感染患者的临床资料进行总结和分析。结果男35例、平均(52.03±16.97)岁,女28例、平均(45.67±19.18)岁;所有患者均存在2个及以上间隙的感染,合并糖尿病16例、妊娠2例;行气管切开术6例;17例表现为蜂窝织炎,抗感染治愈出院;46例脓肿形成,通过穿刺抽脓及脓肿切开引流等治疗,其中43例治愈、2例好转、1例自动出院。结论口腔颌面颈部多间隙感染需尽早使用广谱抗生素联合治疗,保持呼吸道畅通,必要时行气管切开术;脓肿形成后应及早行脓肿切开引流术,对于合并糖尿病和妊娠更应高度重视。

关键词: 口腔颌面颈部, 筋膜间隙, 感染, 细菌培养, 外科治疗

Abstract: Objective To explore the clinical features and treatment of multiple oral, maxillofacial, and neck infections. Method The clinical data of 63 patients with multiple oral, maxillofacial, and neck infections admitted to our department between December 2013 and August 2018 were summarized and analyzed. Result The average age of the 35 males was(52.03±16.97)years and that of the 28 females was(45.67±19.18)years. There were two or more interstitial infections. Among the 63 cases, 16 were complicated with diabetes and 6 were treated with tracheotomy. Seventeen were treated for cellulitis; all of them were cured and discharged. Forty-six patients showed the formation of abscess, and they were treated with puncture and abscess incision and drainage; 43 were cured and discharged, 2 improved, and 1 left without being discharged. Conclusion Multiple oral, maxillofacial, and neck interstitial infections should be treated with broad-spectrum antibiotics as soon as possible to keep the respiratory tract unobstructed. If necessary, tracheotomy should be performed. After abscess formation, early incision and drainage should be performed. Diabetes, hypertension, heart disease, and other accompanying diseases should also be treated.

Key words: Maxillofacial neck, Fascial space, Infection, Bacterial culture, Surgical treatment

中图分类号:

R632.9

黄方,周小平. 口腔颌面颈部多间隙感染63例[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 104-107.

HUANG Fang, ZHOU Xiaoping. Clinical analysis of 63 cases with multiple oral, maxillofacial, and neck infections[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 104-107.

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