[1]唐伟丽,王 菲,赵 芳.口腔颌面部间隙感染患者的临床表现及病原菌分布情况研究?/html>[J].中国美容医学,2021,(11):94-97.
　TANG Wei-li,WANG Fei,ZHAO Fang.Clinical Manifestations and Distribution of Pathogens in Patients with Oral and Maxillofacial Space Infection?/html>[J].Medical Aesthetics and Beauty,2021,(11):94-97.
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口腔颌面部间隙感染患者的临床表现及病原菌分布情况研究?/html>()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年11期
页码:
94-97
栏目:
出版日期:
2021-11-10

文章信息/Info

Title:
Clinical Manifestations and Distribution of Pathogens in Patients with Oral and Maxillofacial Space Infection?/html>
作者:
唐伟丽1; 2; 王 菲3 ; 赵 芳4
Author(s):
TANG Wei-li1; 2; WANG Fei3 ; ZHAO Fang4
关键词:
[关键词]口腔颌面部间隙感染; 病原菌; 并发症; 引流; 脓液; 临床表现
Keywords:
Key words: maxillofacial space infections;  pathogen;  complications;  drainage;  pus;  clinical manifestations
文献标志码:
A
摘要:
[摘要]目的：探究口腔颌面部间隙感染患者的临床表现以及病原菌分布情况。方法：选择2019年1月-2019年12月西安交通大 学口腔医院接诊的口腔颌面部间隙感染患者77例病例资料回顾性分析。记录全部患者的一般情况，患者的临床表现分布情 况、细菌培养结果、治疗情况及治疗结果。结果：研究共纳入77例患者，临床表现中，“食欲减退”的发生比例为98.70%， “感染部位红肿热痛”的发生比例为97.40%；有57例患者接受标本采集后的细菌培养和药敏实验，标本包括切开引流的脓液 27例，穿刺抽吸的脓液20例，自然破溃的脓液10例。培养出草绿色链球菌10例，金黄色葡萄球菌8例，肺炎克雷伯菌7例，有 21例标本未检出病原体；54例患者给予青霉素衍生物，21例给予头孢类药物，2例儿童患者给予阿奇霉素，有52例患者在治 疗过程中联合给予奥硝唑；蜂窝组织炎的18例患者均单纯使用抗感染治疗，脓肿的59例患者均采用切开引流+抗感染治疗。 77例患者经救治后全部达到治愈标准出院。结论：口腔颌面部间隙感染的临床表现比较典型，多种病原体均为造成感染的原 因，治疗方法的选择上一般以切开引流联合抗感染为主，及时治疗后可取得良好结果，在治疗过程中需防范并发症。
Abstract:
Abstract: Objective To explore the clinical manifestations and pathogen distribution of patients with oral and maxillofacial space infection. Methods From January 2019 to December 2019, 77 patients with oral and maxillofacial space infection in stomatological hospital of Xi’an Jiaotong University were selected and analyzed retrospectively. Describe the general condition of all patients. Describe the distribution of clinical manifestations, bacterial culture results, treatment and treatment results. Results The study included 77 patients.The incidence of anorexia was 98.70% and that of "swelling and hot pain in infected area" was 97.40%. 57 patients were collected from bacteria culture and drug sensitivity test. The samples included 27 cases of open drainage pus, 20 cases of puncture and suction pus, 10 cases of natural pus. 10 cases of Streptococcus caesii, 8 Staphylococcus aureus and 7 Klebsiella pneumoniae were cultured. No pathogens were detected in 21 specimens. 54 patients were given penicillin derivatives, 21 were given cephalosporins, and azithromycin in 2 children. In 52 patients, ornidazole was given in combination during the treatment. 18 patients with cellulitis were treated with anti infection alone, 59 patients with abscess were treated with incision drainage and anti infection. All 77 patients were discharged after treatment and all reached the cure standard. Conclusion The clinical manifestations of oral and maxillofacial space infection are typical. A variety of pathogens are the causes of infection. The choice of treatment methods is generally incision and drainage combined with anti infection. Good results can be achieved after timely treatment, and complications need to be prevented in the process of treatment.?/html>
更新日期/Last Update: 2021-12-02