糖尿病并发颈深部间隙感染19例临床分析

Clinical analysis of diagnosis and treatment of serious pyogenic infection in deep neck

目的探讨糖尿病并发颈深部多间隙感染的相关因素及治疗方法。方法回顾性分析颈深部多间隙感染49例患者的临床资料，比较糖尿病患者与非糖尿病患者的治疗区别。结果全身抗感染及局部对症治疗后，不伴糖尿病患者平均疗程10．1d，合并糖尿病患者平均疗程18．1d。结论对于糖尿病合并严重颈部多间隙感染患者，在控制血糖前提下，局部治疗和全身治疗同样重要。

Objective To explore the clinical features,diagnosis and treatment of serious pyogenic infection in deep neck. Methods The retrospective analysis was taken on clinical data of 49 eases. They were all with the deep neck space infections. Among them, 19 cases were revealed with diabetes, and only 7cases had the treatment history of diabetes before. Results After systemic anti-inflammatory and local symptomatic treatment , the mean course of treatment in patients without diabetes was 10.1 days,and in patients with diabetes was 18.1 days. Conclusion For diabetic patients with more severe neck space infection, in the control of blood glucose under the premise of local treatments and systemic therapy were equally important.