危及生命的口腔面部感染。
Life-threatening Oro-facial infections.
作者信息
Amponsah Ek, Donkor P
机构信息
1 Medical University named after Academic Pavlov, Saint Petersburg 197061. Russia Federation and formerly of Tarkwa Government Hospital, Tarkwa, Ghana.
出版信息
Ghana Med J. 2007 Mar;41(1):33-6.
Abstract
SummaryFour cases of oro-facial infection leading to life-threatening complications are reported. Although all had been treated with antibiotics prior to consultation, lack of surgical intervention had allowed the infection to progress. These cases are a reminder that acute spreading odontogenic infection can be life-threatening. Definitive treatment includes airway management, adequate resuscitation and optimization of pre-existing medical conditions prior to removal of the source of infection and drainage of pus. High dose intravenous antibiotics should be administered, with the initial choice of antibiotics modified in the light of subsequent bacteriological reports. The treatment of all odontogenic infections must include removal of the focus of infection, and drainage of pus.
摘要
摘要 报告了4例导致危及生命并发症的口腔面部感染病例。尽管所有患者在就诊前均接受了抗生素治疗，但由于缺乏手术干预，感染得以进展。这些病例提醒我们，急性播散性牙源性感染可能危及生命。明确的治疗包括气道管理、充分复苏以及在清除感染源和引流脓液之前优化原有疾病状况。应给予大剂量静脉抗生素治疗，并根据后续细菌学报告调整初始抗生素选择。所有牙源性感染的治疗都必须包括清除感染灶和引流脓液。
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