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[牙源性纵隔炎的诊断与治疗]

[The diagnosis and treatment of odontogenic mediastinitis].

作者信息

Gubin M A, Girko E I, Kharitonov Iu M

出版信息

Vestn Khir Im I I Grek. 1996;155(3):12-5.

PMID:8966928
Abstract

A program of early diagnostics of odontogenic mediastinitis was developed on the basis of an analysis of clinico-laboratory manifestations and the evaluation of its clinical efficiency is given. The criteria were established for determining the phases of odontogenic mediastinitis-reactive, toxic and terminal ones. A program of complex treatment was worked out and introduced into practice which included the methods of efferent therapy-hemosorption and perfusion through xenospleen. Substantially decreased lethality (from 39.5% to 15.3%) from odontogenic mediastinitis was obtained.

摘要

在分析牙源性纵隔炎的临床实验室表现的基础上,制定了牙源性纵隔炎早期诊断方案,并对其临床疗效进行了评估。确定了牙源性纵隔炎反应期、中毒期和终末期的诊断标准。制定了综合治疗方案并应用于实践,其中包括传出疗法——血液吸附和通过异种脾进行灌注。牙源性纵隔炎的致死率大幅下降(从39.5%降至15.3%)。

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