Treatment of life threatening head and neck space infection:A retrospective analysis of 32 cases / 实用口腔医学杂志
Journal of Practical Stomatology
; (6): 684-688, 2014.
Article
in Zh
| WPRIM
| ID: wpr-458954
Responsible library:
WPRO
ABSTRACT
Objective:
To review the treatment of life threatening head and neck space infection.Methods:
Retrospective was con-ducted to analyse the patient characterization,signs and symptoms at the time of presentation,presence of concomitant systemic co-morbidities,treatment,prognosis and bacteriology.Results:
32 patients from 2007.01 to 2013.01(mean age was 57.71 years)were included.The cases were increased year by year.1 1 (34.37%)patients had breathing difficulty requiring tracheostomy and 19 (59.3%)had concomitant systemic comorbidities.23 cases recovered completely,8 with severe mediastinal infection were trans-ferred to the department of thoracic surgery or the department of respiratory medicine.1 patient died.Pus submission rate was 96.87%,the bacteria detection rate was 37.50%.Pus culture showed mixed infection dominated by streptococci.Staphylococcus au-reus,pseudomonas aeruginosa,enterococcus faecalis,prevotella and neisseria were detected.Conclusion:
Annually incidence of life threatening head and neck space infection is increasing.Treatment of the infection should include①Ensuring the airway patency;②Surgical incision and drainage as early as possible;③ Hypoglycemic control,maintenance of hemodynamic,nutritional support,and multi-disciplinary approach are the key points in the management of such infections;④ Systemic antibiotics.
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Index:
WPRIM
Language:
Zh
Journal:
Journal of Practical Stomatology
Year:
2014
Type:
Article