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路德维希咽峡炎:类固醇疗法在其治疗中的作用?

Ludwig's angina: a place for steroid therapy in its management?

作者信息

Freund B, Timon C

机构信息

Toronto General Hospital, Toronto, Ontario, Canada.

出版信息

Oral Health. 1992 May;82(5):23-5.

PMID:1291941
Abstract

Ludwig's angina is an uncommon but potentially fatal condition which presents as a hard swelling of the floor of the mouth. It spreads rapidly as a gangrenous process that may cause death through local airway obstruction. Ludwig's angina carried a 54% mortality rate in the preantibiotic era which has now been reduced to approximately 4%. Diagnosis is based on history and clinical observation. Currently described treatment involves protecting the airway and managing the infection with antibiotics and surgical drainage when indicated.

摘要

路德维希咽峡炎是一种罕见但可能致命的疾病,表现为口腔底部硬性肿胀。它作为一种坏疽性病变迅速蔓延,可能因局部气道阻塞导致死亡。在抗生素时代之前,路德维希咽峡炎的死亡率为54%,目前已降至约4%。诊断基于病史和临床观察。目前所描述的治疗方法包括保护气道,以及在有指征时使用抗生素和手术引流来控制感染。

相似文献

1
Ludwig's angina: a place for steroid therapy in its management?路德维希咽峡炎:类固醇疗法在其治疗中的作用?
Oral Health. 1992 May;82(5):23-5.
2
Ludwig's Angina.路德维希咽峡炎
Am J Med. 2011 Feb;124(2):115-7. doi: 10.1016/j.amjmed.2010.08.004. Epub 2010 Oct 19.
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Severe life threatening maxillofacial infection in pregnancy presented as Ludwig's angina.妊娠期出现的严重危及生命的颌面部感染表现为路德维希咽峡炎。
Infect Dis Obstet Gynecol. 2006;2006:51931. doi: 10.1155/IDOG/2006/51931.
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Ludwig's angina.路德维希咽峡炎
Nebr Med J. 1984 Dec;69(12):395-8.
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A rare cause of Ludwig's angina by Morganella morganii.摩根氏摩根菌引起路德维希咽峡炎的罕见病例。
J Infect. 2006 Oct;53(4):e191-4. doi: 10.1016/j.jinf.2005.12.026. Epub 2006 Feb 14.
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Submandibular cellulitis (Ludwig's angina) associated to a complex odontoma erupted into the oral cavity. Case report and literature review.与复杂牙瘤相关的下颌下蜂窝织炎(路德维希咽峡炎)破溃至口腔。病例报告及文献综述。
Minerva Stomatol. 2007 Nov-Dec;56(11-12):639-47.
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Ludwig's angina: report of case.
J Oral Surg. 1974 Jun;32(6):462-4.
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Ludwig's angina: A diagnostic and surgical priority.路德维希咽峡炎:诊断和手术的重点。
Int J Infect Dis. 2020 Apr;93:160-162. doi: 10.1016/j.ijid.2020.01.028. Epub 2020 Jan 23.
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Ludwig's angina in the pediatric population.儿童人群中的路德维希咽峡炎
Clin Pediatr (Phila). 2009 Jul;48(6):583-7. doi: 10.1177/0009922809333095. Epub 2009 Mar 12.
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Ludwig angina: forewarned is forearmed.路德维希咽峡炎:有备无患。
AANA J. 2006 Dec;74(6):445-51.

引用本文的文献

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Ludwig's Angina-A Controversial Surgical Emergency: How We Do It.
Int J Otolaryngol. 2011;2011:231816. doi: 10.1155/2011/231816. Epub 2011 Jul 6.