頁籤選單縮合
題 名 | Ludwig氏口腔底炎 |
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作 者 | 沈宗憲; | 書刊名 | 慈濟醫學 |
卷 期 | 5:3 1993.09[民82.09] |
頁 次 | 頁175-181 |
分類號 | 416.89 |
關鍵詞 | 口腔底炎; |
語 文 | 中文(Chinese) |
中文摘要 | 五年來本院耳鼻喉科治療了12例Ludwig氏口腔底炎患者,男女比為7:5, 平均年齡為53.5歲。5例(42)伴有糖尿病潛因;而牙齒毛病是最常見之誘因。本疾病 型態已有所改變,患者由年輕人轉向老年人與免疫力低下病人。治療方式以抗生 素為主,最常併用penicillin,chloramphenicol,garamycin。9例(75)因效果不佳追加切 開引流,其中2例(17)因呼吸困難同時施行氣管切開術。治癒時間最短3天,最長 20天,無死亡病例。6例血液培養全為陰性,10例膿液培養,7例為陽性,其中4 例為單純感染3例為混合感染,菌種以Streptococcus virdans最多,計5株,其次為 Klebsiella pneumoniae 2株。由抗生素感受性試驗顯示chloramphenicol與第一代 cephalosporin最佳,因此建議以上述二抗生素作為第一線藥物,如效果不佳則實 施切開引流,並依感受性試驗結果作適當調整。(慈濟醫學 1993;5:175-181) |
英文摘要 | In the past 5 years we treated 12 cases of Ludwig's angina. There were 7 males and 5 females. The ageranged from 16 to 76 with an average of 53.5. Five patients were complicated with diabetes mellitus. Dentalproblems initiated this disease in 5 patients. It seems that the disease pattern has changed, and that an increasein older and immunocompromised patients has been noted in recent years. Although parenteral antibiotics is themainstream of treatment, 9 patients received incision and drainage in addition. Two of the above 9 patients alsoreceived tracheostomy due to dyspnea. There was no mortality in our series. All 6 blood cultures were negative and 7 of the 10 pus cultures were positive. Four cases had solitarypathogen infection while the other 3 were mixed infections. Streptococcus viridans was the most commonpathogen and Klebsiella pneumoniae the next. The antibiotic susceptibility test revealed that chloramphenicoland first-generation cephalosporin were the most effective drugs. We approve these two antibiotics to be thefirst-line drug. Incision for drainage and adjustment of the regimen according to the susceptibility test should bedone in the ineffective cases. (Tz'u-Chi Med J 1993; 5: 175-181) |
本系統中英文摘要資訊取自各篇刊載內容。