口底多间隙感染28例诊治分析  

Diagnosis and treatment of multi-space infection at the floor of mouth: a report of 28 cases

作　　者：苑绪光 李天竹[1] 朱骏飞 张晔[1] YUAN Xu-guang;LI Tian-zhu;ZHU Jun-fei;ZHANG Ye(Center of Stomatology, China-Japan Friendship Hospital, Beijing 100029, China)

机构地区：[1]中日友好医院口腔医学中心,主治医师北京100029

出　　处：《中华老年口腔医学杂志》2019年第2期87-91,共5页Chinese Journal of Geriatric Dentistry

基　　金：首都临床特色应用研究(项目编号:Z151100004015034)

摘　　要：目的:分析口底多间隙感染的临床特点及综合治疗,指导治疗方案,提高治愈率。方法:收集2013年9月-2018年8月就诊于我科的口底多间隙感染患者28例,分为糖尿病组和非糖尿病组,分析其临床检查、辅助检查及诊疗过程。结果:28例患者中,糖尿病患者18例,非糖尿病患者10例,在入院时血糖水平、入院时白细胞计数、中性粒细胞百分比及住院日两组差异有统计学意义(P<0.05);早期足量联合应用抗生素,待脓肿形成后及时切开引流,患者均痊愈出院。结论:口底多间隙感染应采取综合治疗,早期诊断、控制血糖、积极抗感染并及时切开引流可取得良好的临床效果。Objective: To analyze the clinical characteristics of multi-space infection at the floor of mouth and to guide the treatment and improve the cure rate. Methods: A total of 28 patients with multi-space infection at the floor of mouth in our department from September 2013 to August 2018 were collected and analyzed. Results: Among 28 patients, 18 were diabetic patients and 10 were non-diabetic patients. There were significant differences at blood sugar level at admission, white blood cell count at admission, neutrophil percentage and length of stay between the two groups (P<0.05). Antibiotics were used in combination in early stage and sufficient amount. After abscess formation, incision and drainage were performed in time. All patients were cured and discharged from hospital. Conclusion: Multi-space infection at the floor of the mouth should be treated by multi-disciplinary combination. Early diagnosis, blood glucose control, active anti-infection and timely incision and drainage can achieve good clinical results.

关 键 词：多间隙感染 糖尿病 多学科 抗感染 切开引流 

分 类 号：R782.3[医药卫生—口腔医学]