重症口腔颌面部间隙感染合并糖尿病31例临床分析

摘要

Objective: To investigate and analyze the clinical treatment effect of diabetes mellitus complicated with severe oral and maxillofacial space infection.Method: 31 patients with diabetes mellitus of severe oral and maxillofacial space infection were treated in our hospital, the treatment effect and laboratory results were summarized.Result: 31 patients, 1 cases died of heart failure,30 cases were cured and all of them regular expand abscess incision drainage, tracheotomy of 6,3 cases with mediastinal abscess, 1 case of cerebral infarction.Conclusion: The key of diagnosis and treatment of diabetic patients with oral and maxillofacial space infection is recognized early, control of blood glucose and maintain airway patency, timely incision drainage, appropriate use of antibiotics, support therapy and control of complications and accompanying diseases are very important to improve the cure rate.%目的：探讨并分析重症口腔颌面部间隙感染合并糖尿病患者的治疗方法和效果。方法：选取本院收治的31例重症口腔颌面间隙感染合并糖尿病患者，对其治疗效果及实验室检查结果进行总结。结果：31例患者，治愈30例，1例死于心力衰竭。30例治愈的患者在治疗过程中，全部行脓肿扩大切开引流，6例行气管切开，3例伴发纵隔脓肿，1例发生脑梗死。结论：对于口腔颌面部间隙感染合并糖尿病患者的治疗，关键是早期识别，应采取血糖控制同时维持呼吸道通畅，及时切开引流，足量、有效使用敏感抗生素，积极控制全身基础性疾病等综合治疗措施，提高临床治愈率。