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目的:探讨对重症口腔颌面部多间隙感染患者进行综合治疗的临床效果。方法 :对2012年6月~2014年6月期间我院收治的26例重症口腔颌面部多间隙感染患者的临床资料进行回顾性研究。我们对这26例患者均进行抗休克、抗感染,全身营养支持及引流等综合治疗,然后分析对其进行检查的结果及治疗的结果。结果 :在进行综合治疗后,这26例患者白细胞的计数明显低于治疗前,二者相比差异有显著性(P<0.05)。在这26例患者中,有24例患者的治疗结果为治愈,有2例患者的治疗结果为死亡。在这2例发生死亡的患者中,有1例因拒绝进行纵膈引流而死亡,有1例因中毒性休克合并心力衰竭及败血症而死亡。结论 :对重症口腔颌面部多间隙感染患者进行综合治疗可以显著降低其并发症的发生率,提升其临床疗效,进而降低其死亡率。该疗法值得在临床上推广使用。
Objective: To investigate the clinical effect of comprehensive treatment of patients with severe oral and maxillofacial multiple space infections. Methods: The clinical data of 26 patients with severe oral and maxillofacial multiple space infections admitted to our hospital from June 2012 to June 2014 were retrospectively studied. We performed anti-shock, anti-infective, general nutritional support and drainage on these 26 patients. We then analyzed the results of the tests and the results of the treatment. Results: After the comprehensive treatment, the count of leukocytes in 26 patients was significantly lower than that before treatment, the difference was significant (P <0.05). Out of these 26 patients, 24 were cured and 2 were fatal. Of the two deaths, 1 died of rejection of mediastinal drainage and 1 died of toxic shock combined with heart failure and sepsis. Conclusion: The comprehensive treatment of severe oral and maxillofacial multiple-space infections can significantly reduce the incidence of complications and improve its clinical efficacy, thus reducing its mortality. The therapy is worth promoting in clinic.