48例重症口腔颌面部多间隙感染临床分析

Comprehensive treatment of 48 patients with severe oral and maxillofacial multi-space infections

目的:探讨口腔颌面部多间隙感染的临床特点与治疗效果。方法:对我院急诊监护室2008年7月—2013年12月间收治的48例重症口腔颌面部感染患者,由口腔颌面外科、急诊科及其他相关科室协作治疗,对其临床表现、诊疗经过及效果进行回顾分析。结果:48例患者中,经多科室综合治疗后痊愈45例,死亡3例,死亡率为6.25%。结论:针对重症口腔颌面部多间隙感染患者,及时采用多学科协作的综合治疗模式,可显著提高治愈率。

PURPOSE： To analyze the features and results of multidisciplinary treatment of oral and maxillofacial multispace infections. METHODS： Forty-eight cases of maxillofacial multi-space infections were treated by multidisciplinary approach including oral and maxillofacial surgery, emergency and other departments of our hospital. The clinical data,laboratory data, diagnosis and treatment were analyzed. RESULTS： Among 48 cases, fifty-five were cured after cooperative treatment while 3 died, the mortality rate was 6.25%. CONCLUSIONS： For severe maxillofacial multi-space infections, better clinical outcome may be achieved by multidisciplinary collaboration treatment with multiple departments.