伴全身中毒症状颌面部感染135例临床分析

Infection of the Face with Secondary Complication:135 Cases

目的:对135例伴有全身中毒症状的颌面部感染的临床资料进行总结分析。方法:对1990年以来,大庆地区治疗的口腔颌面部感染且伴有全身中毒症状的135例进行回顾性分析,并就治疗方法及治愈率进行评价。结果:135例中,合并有败血症68例(50.4%),脓毒血症67例(49.6%)。治愈130例,死亡5例,治愈率为96.3%。结论:对口腔颌面部感染,尤其伴有全身中毒症状者应及时诊断,及早选用抗生素积极治疗,及时切开引流,其次辅助疗法也是抢救病人的重要环节。

Objective： To summarize the clinical data of 135 cases of infection in oral and maxillofacial region with severe secondary complications. Methods： 135 cases were retrospectively analyzed, from the method of treatment and curing rate. Results： There were secondary complication with septicaemia in 68 cases （50.4%）, and pyemia in 67 cases （49.6%）. 130 cases were cured, but 5 cases had a fatal termination. The Curing rate was 96.3%. Conclusion： Prompt and accurate diagnosis, early administration of antibiotics, incision and drainage on time, hypurgia are vital,