侵略性带空间感染的趋势和结果
Hamada Mahran1,2, Ahmed Gaber Hassanein3, Moataz Rizq4
1Maxillofacial Surgery Unit, General Surgery Department, Faculty of Medicine, Assiut University, Asyut, Egypt.
Surgical infections
|June 6, 2023
概括
牙引起的感染,通常是由于牙问题引起的,可以导致严重的深层带空间感染. 紧急的手术干预至关重要,特别是对于糖尿病免疫功能低下的患者来说,以防止致命的结果.
科学领域:
- 口腔和牙面部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 牙引起的感染很常见,但可能导致严重的,潜在的致命的深部空间感染.
- 尽管有现代治疗方法,但这些感染仍存在严重的发病率和死亡率风险.
研究的目的:
- 分析由牙引起的严重深层带空间感染的特征和结果.
- 为了确定常见的感染部位和与严重的牙病原性感染相关的风险因素.
主要方法:
- 追溯研究296名患有严重深层带空间感染的患者.
- 2017年6月至2022年6月期间,从埃及和沙特阿拉伯的两个中心收集的数据.
- 分析包括患者人口统计,并发症,病因因素和受影响的空间.
主要成果:
- 下腔是最常被感染的单一空间 (23.3%).
- 糖尿病 (43%),高血压 (26.6%) 和长期使用类固醇 (13.3%) 是常见的并发症.
- 最常见的感染源是第三下部 (83%的确诊).
- 路德维希心痛发生在6.4%的患者中.
结论:
- 牙感染经常导致深层带空间的参与,下腔空间是最常见的.
- 免疫功能低下的人,特别是糖尿病患者,面临致命并发症的更高风险.
- 迅速的手术管理对于减少发病率,死亡率和住院时间至关重要.
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