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目的针对重症口腔颌面部严重感染合并糖尿病患者的临床诊治疗效进行较深入地分析探讨。方法收集2012年1月—2013年1月期间就诊的30例重症口腔颌面部严重感染合并糖尿病患者的有关资料,对全部患者的实验室检查结果及临床疗效进行较深入的分析研究。结果收集的30例患者中,其中有29例患者经治疗后病情痊愈,有1例患者因心力衰竭导致死亡。治愈的29例患者中,主要采用对患者脓肿实施扩大切开引流方法,实施气管切开的患者有5例,同时伴随纵隔脓肿的患者有2例,发生脑梗死的患者有1例。结论对于糖尿病患者患有口腔颌面部间隙感染的治疗,主要应在间隙感染发生早期进行及时识别,控制好患者的血糖指标,并使患者呼吸道保持通畅,尽早实施切开引流方法,治疗中应用的敏感抗生素应足量并达到预期效果,特别是对患者具有全身基础性疾病等采取有效措施进行积极控制,才能使此疾病患者在临床治疗中获得令人满意的疗效。
Objective To analyze and discuss the clinical diagnosis and treatment of severe oral and maxillofacial severe infection complicated with diabetes mellitus. Methods The data of 30 patients with severe severe oral and maxillofacial infection complicated with diabetes mellitus from January 2012 to January 2013 were collected. The laboratory results and clinical efficacy of all patients were analyzed in depth. Results Of the 30 patients collected, 29 of them recovered after treatment and 1 died of heart failure. Among the 29 patients who were cured, 5 patients underwent tracheotomy, 2 patients had mediastinal abscess, and 1 patient had cerebral infarction. Conclusions The treatment of oral and maxillofacial gap infections in diabetic patients should be mainly identified in the early stage of interstitial infection to control the blood glucose level of the patients and keep the airway of the patients unobstructed. As soon as possible, the incision and drainage method should be used in the treatment Of sensitive antibiotics should be sufficient and achieve the desired results, especially for patients with systemic diseases such as taking effective measures to take active control in order to enable patients with this disease in clinical treatment to obtain satisfactory results.