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目的:探讨小儿口底坏死性蜂窝织炎的临床特点以提高其治愈率。方法:1999～2009年治疗小儿口底坏死性蜂窝织炎住院患者20例,对其发病特点、感染来源、细菌培养结果、全身症状及局部表现、体温、化验结果及其治疗方法进行回顾性分析。结果:2例因保守治疗后合并并发症而救治无效死亡,病死率10.0%,其余全部治愈出院。结论:小儿口底坏死性蜂窝织炎早期联合治疗,及时切开引流、合理选用敏感足量抗生素、加强支持等综合治疗才能更有效地控制病情,尽快治愈。
Objective: To investigate the clinical features of infantile necrotizing cellulitis to improve the cure rate. Methods: Twenty patients were enrolled in this study. The incidence, origin of infection, bacterial culture, systemic symptoms and local manifestations, body temperature, test results and treatment methods were analyzed retrospectively . Results: Two cases died of complications due to conservative treatment. The mortality rate was 10.0%. All the others were cured. Conclusion: Early combined treatment of infantile necrotizing cellulitis, timely incision and drainage, rational selection of adequate antibiotics, support and other comprehensive treatment to more effectively control the disease, cure as soon as possible.