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不同年龄组深部颈部间隙感染的临床表现及微生物学特征

Clinical Presentation and Microbiological Profile of Deep Neck Space Infections in Different Age Groups.

作者信息

Singhal Gaurang, Jain Shalini, Sen Kanwer

机构信息

Department of ENT, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. RML Hospital, Baba Kharag Singh MARG, New Delhi, 110001 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1870-1876. doi: 10.1007/s12070-020-01869-y. Epub 2020 May 12.

Abstract

Deep neck space infection (DNI), is defined as infections in the deep fascia enclosing potential spaces of the neck. In the past the diagnosis and treatment of DNI have challenged. The health care personnel at all levels. The complex anatomy and the deep location of this region remains a big problem with significant risks of morbidity and mortality. The aim of this study is to analyse the difference in clinical presentation and microbiology of DNI in different age groups. Eighty two patients with DNI which were managed at the Department of Otorhinolaryngology, ABVIMS and Dr. Ram Manohar Lohia Hospital New Delhi, between November 2017 and March 2019 formed the basis of our prospective cross sectional observational study. We observed that DNI is a frequent and potentially life threatening condition in children and adults despite the use of antibiotics. For appropriate surgical management knowledge of complex spaces of the neck and their communication with the other spaces is necessary.

摘要

颈部深部间隙感染(DNI)被定义为发生在包绕颈部潜在间隙的深筋膜中的感染。过去,DNI的诊断和治疗给各级医护人员带来了挑战。该区域复杂的解剖结构和较深的位置仍然是一个大问题,存在显著的发病和死亡风险。本研究的目的是分析不同年龄组DNI的临床表现和微生物学差异。2017年11月至2019年3月期间,在新德里ABVIMS耳鼻喉科和拉姆·马诺哈尔·洛希亚博士医院接受治疗的82例DNI患者构成了我们前瞻性横断面观察研究的基础。我们观察到,尽管使用了抗生素,但DNI在儿童和成人中仍是一种常见且可能危及生命的疾病。对于适当的手术治疗,了解颈部复杂间隙及其与其他间隙的连通情况是必要的。

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