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目的对重症口腔颌面部多间隙感染的临床治疗方法进行分析和研究。方法以绍兴市上虞人民医院2010年8月至2012年8月收治的21例重症口腔颌面部多间隙感染患者为研究对象,对其予以综合治疗,即切开引流、全身支持治疗、抗感染、预防并发症等;观察其治疗效果。结果 18例患者治愈,临床症状基本消失,引流伤口痊愈,各项实验室检查皆显示正常;3例患者死亡,1例为老年重症口腔颌面部多间隙感染并发多脏器衰竭,2例死于败血症、呼吸衰竭、纵膈感染。结论采取综合治疗方法治疗重症口腔颌面部多间隙感染,可显著提高治疗效果,降低死亡率,值得在临床上大力推广。
Objective To analyze and study the clinical treatment of multiple oral infections in severe oral and maxillofacial region. Methods Twenty-one patients with severe oral and maxillofacial multiple-gap infections admitted to Shangyu People’s Hospital of Shaoxing from August 2010 to August 2012 were enrolled in this study. They were treated by combined drainage, systemic support and anti-infection , Prevent complications, etc .; observe the therapeutic effect. Results Eighteen patients were cured, the clinical symptoms disappeared, the draining wounds healed and all the laboratory tests showed normal. Three patients died, one was multiple severe oral or maxillofacial multiple senile complications with multiple organ failure and two died In sepsis, respiratory failure, mediastinal infection. Conclusion The comprehensive treatment of severe oral and maxillofacial multiple space infections can significantly improve the treatment effect and reduce mortality, it is worth to clinically promote.