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題 名 | 魯特維格式咽峽炎--臺灣本土病例回顧=Ludwig's Angina--A Review of Native Cases in Taiwan |
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作 者 | 陳奕舟; 鍾景宏; 張文輝; 王東堯; 劉佳觀; 黃振勳; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 13:2 2002.09[民91.09] |
頁 次 | 頁99-111 |
分類號 | 415.333 |
關鍵詞 | 魯特維格氏咽峽炎; 治療; 呼吸道處理; |
語 文 | 中文(Chinese) |
中文摘要 | 魯特維格氏咽峽炎鳥一頭頸部的感染急症,若未妥善治療極易發生呼吸道阻塞等危及生命的併發症。自1990年到2001年,本院牙醫部共診治12例魯特維格氏咽峽炎病患。這些病患均接受頸部的切開引流手術,及抗生素治療;其中一例並作氣管切開術,其餘11例在術後留置氣管內管。所有病患均順利復原,平均住院天數為14天。進一步回溯自1987年至2001年間國內關於魯特維格氏咽峽炎報告的病例共41例,再加上本院之12例,共53例,我們發現積極評估呼吸道狀況,加上適時的切開引流有助於降低急性呼吸道阻塞的機率。歸納上述臨床經驗,建議的處理原則:維持呼吸道的暢通,使用適當的抗生素,適時的作切開引流。 |
英文摘要 | Ludwig’s angina is a cellulitis frequently occurring as a result of infections of the second and third lower molar. The potential for rapid respiratory obstruction is the greatest concern. Familiarity with the anatomy of the neck and recognition of symptoms are essential for effective treatment. We report our experience with 12 cases of Ludwig’s angina since 1990 till 2001. There were no deaths. Surgical procedures including incision and drainage and tooth extraction were performed and antibiotics were administered to all patients. Most of them were treated with crystalline penicillin with an aminoglycoside. Only one patient received a tracheostomy in this series. We conduct a retrospective study of 53 cases achievable from the literature since 1981 in Taiwan. Etiologic factors, common pathogens, and antimicrobial therapy were reviewed with reference to diagnostic methods of choice and management principles. The findings were compared with the literature. We have identified trends of change in the following aspects of Ludwig’s Angina: management principles of airway protection, CT or x-ray evaluation, usage of antibiotics, and diversity between various specialists in surgical treatment. Conclusion: We suggest that an aggressive antimicrobial therapy, early surgical intervention and careful monitoring of the respiratory symptoms would reduce both the need for emergent tracheostomy and the mortality rate. Nowadays, treatment focuses on maintenance of an airway, antibiotic therapy, and surgery. |
本系統中英文摘要資訊取自各篇刊載內容。