...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Diagnosis and treatment of deep neck space abscesses.
【24h】

Diagnosis and treatment of deep neck space abscesses.

机译：颈部深部脓肿的诊断和治疗。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To review our experience with deep neck abscesses and identify unique trends in our patient population. STUDY DESIGN: Case series with chart review. SUBJECTS AND METHODS: Evaluation of patients with deep neck space abscesses between 2001 and 2006. Peritonsillar abscess, superficial craniocervical infection, and salivary gland infections were excluded from selection of study population. A total of 106 cases were reviewed. RESULTS: Dental infections were the most common cause of deep neck abscesses (49.1%). Comorbidities included substance abuse (53.7%), psychiatric illness (10.4%), hypertension (9.4%), head and neck cancer (6.6%), and diabetes mellitus (5.7%). All patients received systemic antibiotics, eight patients required tracheotomy, 85 patients underwent surgical drainage in the operating room, and 11 had bedside drainage. Median and lower quartile of time in hospital was 2 and 3 days, respectively, whereas upper quartile was 4 days (range, 1 to 27 days). Patients with comorbidities orconcurrent illness tended to stay longer (P<0.05, Mann-Whitney test). There were six complications and no mortality. CONCLUSION: Substance abuse and poor orodental hygiene are important predisposing factors to deep neck abscesses. Appropriate management continues to favor a combination of early surgical drainage and systemic antibiotics.
机译：目的：回顾我们深颈脓肿的经验并确定我们患者群中的独特趋势。研究设计：带有图表审查的案例系列。研究对象和方法：对2001年至2006年间深颈部空间脓肿的患者进行评估。从研究人群中排除了腹膜周围脓肿，浅表颅颈感染和唾液腺感染。总共审查了106例。结果：牙菌感染是深颈部脓肿的最常见原因（49.1％）。合并症包括药物滥用（53.7％），精神病（10.4％），高血压（9.4％），头颈癌（6.6％）和糖尿病（5.7％）。所有患者均接受了全身性抗生素治疗，其中8例需要行气管切开术，85例在手术室进行了手术引流，11例在床旁引流。住院时间的中位数和下四分位数分别为2天和3天，而上四分位数为4天（范围为1至27天）。合并症或并发疾病的患者倾向于留更长的时间（P <0.05，Mann-Whitney检验）。有六种并发症，无死亡。结论：药物滥用和口腔卫生差是深部颈部脓肿的重要诱因。适当的管理继续倾向于早期外科引流和全身性抗生素的结合。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号