糖尿病并发口腔颌面部间隙感染31例临床分析  

Clinical analysis of oral and maxillofacial spaces infections in diabetic patients ： a report of 31 cases

作　　者：崔军[1] 李宁毅[2] 姜玲[1] 于泽秋[1] 金光春[1] 

机构地区：[1]山东省滨州医学院附属医院口腔科,256603 [2]青岛大学医学院附属医院口腔科

出　　处：《中华全科医师杂志》2008年第2期117-118,共2页Chinese Journal of General Practitioners

摘　　要：31例糖尿病并发口腔颌面部间隙感染住院患者平均年龄（61±9）岁，平均住院（14±6）d，入院时平均空腹血糖10．4mmol／L。多间隙感染20例，单间隙感染11例，同时伴全身并发症者13例。感染源多为牙源性；血、脓细菌培养以草绿色链球菌及金黄色葡萄球菌最为常见。治疗以早期切开引流、控制血糖和控制感染并重、防治窒息和全身并发症为重要原则。The characterization and management of oral and maxillofacial spaces infections in diabetic patients were studied in order to determine the pattern of this clinical condition and formulate a management plan. There were 31 cases with average age of 61 years （s =9） ; the mean hospitalization time was 14 days （s = 6） ; the average fasting blood glucose level on admission was 10. 4 mmol/L. Of the 31 patients 20 were multiple-space infections and 11 were single-space infections. 13 patients had major complications during admission. Odontogenic infection was the most common cause of the space infections. Streptococcus viridians and staphylococcus aureus were common organisms （5/19, 4/19） identified through pus and/or blood cultures. Early surgical incision and drainage, perfect blood glucose control, intravenous antimicrobial therapy, preventing asphyxia and managing major complications are necessary and effective approaches for the management plan.

关 键 词：糖尿病 口腔颌面部间隙感染 并发症 诊断 病例 治疗 

分 类 号：R7[医药卫生—临床医学] R587