在牙感染中空气的存在,影响和结果
Allison Salmon1, Jack Maddalozzo1, S Loren Moles2
1Dental Student, UIC College of Dentistry, Chicago, IL.
概括
在头部和部的牙感染中,CT扫描中的气体表明严重程度增加,导致更长的住院时间和更多的手术. 这一发现表明,气体是一个负面的预后信号,需要怀疑快速进展的感染.
科学领域:
- 医疗成像医学成像
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
背景情况:
- 头部和部的牙感染通常会随着及时治疗而消失.
- 然而,可能会出现严重的并发症,如呼吸道阻塞,败血症和中炎.
- 如果不有效管理,这些感染可能会危及生命.
研究的目的:
- 评估计算机断层扫描 (CT) 扫描中气体的存在与患有牙病原性感染的患者结局之间的关联.
- 为了确定放射性气体是否是感染严重程度和并发症的预测因素.
主要方法:
- 对321名患有需要手术排水的牙产生的患者进行了回顾性队列研究.
- 分析CT扫描以检测气体存在或不存在.
- 结果包括住院时间,重症监护室 (ICU) 入院,二次手术和输管.
主要成果:
- 26.8%的患者在CT成像中出现了气体.
- 气体存在与显著更长的住院时间 (5.9 vs 3.3天,P = .003) 相联系.
- 气体患者更有可能需要多次切口和排水 (I&D) 程序 (16.3%对8.1%,P = .033).
结论:
- 在牙引起的感染中,放射性气体证据与住院时间的延长和重复手术的需求的增加有关.
- 对CT的气体应被认为是一种负面的预后指标,表明潜在的严重和快速进展的感染.
- 早期识别气体可能会促使对有风险的患者采取更积极的管理策略.
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