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題 名 | 魯特維格式咽峽炎--病例報告=Ludwing's Angina--Case Report |
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作 者 | 陳俊明; 楊家福; 陳中和; | 書刊名 | 臺灣口腔醫學會雜誌 |
卷 期 | 14:2 1998.12[民87.12] |
頁 次 | 頁146-155 |
分類號 | 416.892 |
關鍵詞 | 魯特維格式咽峽炎; 蜂窩性組織炎; 感染; Ludwig's angina cellulitis; Infection; |
語 文 | 中文(Chinese) |
中文摘要 | 魯特維格式咽峽炎是一種急性發作,毒性大且組織質地堅硬的蜂窩性組織炎, 其牽涉入的組織間隙包括雙側性顎下間隙、雙側性舌下間隙以及頦下間隙。魯特維格式咽 峽炎常因牙齒的因素而發生,最常見的菌種是鏈球菌(streptococci)或是混合型的口腔 菌種魯特維格式咽峽炎最常見的是起因於下顎臼齒的周圍根尖或牙周感染,但是顎下唾液 腺炎、扁桃腺炎、下顎複合性骨折、口腔的惡性種瘤、和口底的穿通性傷口,均也可能遭 受感染造成魯特維格式咽峽炎。 魯特維格式咽峽炎在沒有抗生素可以使用的年代以前,死亡率為50%,而目前絕大多 數的病例在使用高劑量的抗生素後,就能將病性抑制住,並能避免病菌進一步快速擴散至 深層組織,所以死亡率已降至5%。若此疾病沒有得到適當的治療,進一步同時擴散到咀嚼 間隙(masticator space)和咽部間隙(pharyngeal space),常造成敗血症甚至可能導 致呼吸道受阻而至死。本篇提出 一個病例,並探討可能的病因、臨床癥狀、以及治療計劃。 |
英文摘要 | Ludwig's angina a firm, acute, toxic cellulites of the bilateral submandibular and sublingual spaces and of the submental space. It is a disease primarily of dental origin. Streptococci or mixed oral flora has been the commonly reported organisms. Ludwing's angina arises most frequently from periapical and periodontal infection of the mandibular molars, but submandibular sialadenitis, tonsillitis, compound fractures of the mandible, infected neoplasms, and penetrating wounds in the floor of mouth all have been cited as causative factors. Prior to the introduction of antibiotics the mortality rate for Ludwig's angina was as high was as high as 50%. Nowadays the seriousness of Ludwig's angina is attenuated by the advent of antibioties. The death rate falls to approximately 5% However, without proper management, the infection of Ludwig's angina may spread rapidly to involve the masticator and pharynageal spaces with consequential sepsis and asphyxiation. In this paper, a case of Ludwig' s angina was presented. The likely cause, the clinical symptoms and signs, and the treatment plans were also discussed. |
本系統中英文摘要資訊取自各篇刊載內容。