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相關文獻
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頁籤選單縮合
題 名 | 口腔顎面感染致死病例的調查報告=Survey of Death from Oral & Maxillofacial Infection |
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作 者 | 王東堯; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 9:2 民87.09 |
頁 次 | 頁82-86 |
分類號 | 416.94 |
關鍵詞 | 口腔顎面感染; 齒源性感染; |
語 文 | 中文(Chinese) |
中文摘要 | 口腔顎面感染在某些情形下,是有致命的危險,文獻上並無有關大規模的調查報告,以探討因此死亡的發生率,或死亡病例的危險因子。本研究是以問卷方式,以了解以上的問題,問卷寄至全臺灣中型以上醫院的牙科或口腔顎面外科,及醫學中心的耳鼻喉科。共33處牙科或口腔顎面外科及4處耳鼻喉科回覆。調查結果,最近3年內年平均因口腔顎面感染或齒源性感染住院病例共959人,3年內共有20人死亡,約150位住院病例中1人死亡,死者全為40歲以上,80%有軀體抵抗力低下情形,多為糖尿病患者,病例大多屬較嚴重的感染,6例為深部頸部感染,4例壞死性筋膜炎,2例腦膿瘍,2例魯特維格氏咽峽炎,1例白徽菌症,直接死亡原因最多為敗血症。研究顯示,因口腔顎面感染或齒源性感染死亡的比率不容忽視,臨床醫師應特別注意具有以上危險因子的病人。 |
英文摘要 | This study investigated the incidence of deaths from oral and maxillofacial infections encountered in a 3-year period. A survey was conducted nationwide. Questionnaires were constructed and sent to dental or OMS Departments of all medical centers, regional hospitals, and provincial and municipal hospitals, and also to ENT Department of the medical centers. Only those infections severe enough for hospital care were studied. About half of the departments replied, including the OMS Departments in all major hospitals. A total of 959 cases were admitted to OMS, dental or ENT inpatient services due to oral and maxillofacial infections yearly in the 3-year period. Twenty deaths were reported by 10 departments in the recent 3-year period. All deaths were in patients older than 40 years of age, and 80% were diabetes. There were deep neck infections (6 cases), necrotizing fasciitis (4 cases), Ludwig's angina (2 cases), brain abscess (2 cases), infected osteoradionecrosis (1 case), murcomycosis (1 case), buccal cellulitis (1 case), unknown infection (1 case), and infection unmentioned (2 cases). Sepsis was the most common cause of death. The estimated rate of death was approximately 1 in 150 cases admitted for oral and maxillofacial infections. Most of the patients who died were diabetes, with deep or necrotizing infections. Particular attention should be paid to patients with these features. |
本系統中英文摘要資訊取自各篇刊載內容。