CAJ | 학술논문

31例糖尿病并发口腔颌面部间隙感染住院患者平均年龄(61±9)岁,平均住院(14±6)d,入院时平均空腹血糖10.4 mmol/L.多间隙感染20例,单间隙感染11例,同时伴全身并发症者13例.感染源多为牙源性;血、脓细菌培养以草绿色链球菌及金黄色葡萄球菌最为常见.治疗以早期切开引流、控制血糖和控制感染并重、防治窒息和全身并发症为重要原则.
31례당뇨병병발구강합면부간극감염주원환자평균년령(61±9)세,평균주원(14±6)d,입원시평균공복혈당10.4 mmol/L.다간극감염20례,단간극감염11례,동시반전신병발증자13례.감염원다위아원성;혈、농세균배양이초록색련구균급금황색포도구균최위상견.치료이조기절개인류、공제혈당화공제감염병중、방치질식화전신병발증위중요원칙.
The characterization and management of oral and maxillofacial spaces infections in diabetic patients were studied in order to determine the pattern of this clinical condition and formulate a management plan.There were 31 cases with average age of 61 years(s=9);the mean hospitalization time was 14 days(s=6);the average fasting blood glucose level on admission was 10.4 mmol/L.Of the 31 patients 20 were multiple-space infections and 11 were single-space infections.13 patients had major complications during admission.Odontogenic infection was the most common cause of the space infections.Streptococcus viridians and staphylococcus aureus were common organisms(5/19,4/19)identified through pus and/or blood cultures.Early surgical incision and drainage,perfect blood glucose control,intravenous antimicrobial therapy,preventing asphyxia and managing major complications are necessary and effective approaches for the management plan.