糖尿病并发口腔颌面部间隙感染31例临床分析

31例糖尿病并发口腔颌面部间隙感染住院患者平均年龄（61±9）岁，平均住院（14±6）d，入院时平均空腹血糖10．4mmol／L。多间隙感染20例，单间隙感染11例，同时伴全身并发症者13例。感染源多为牙源性；血、脓细菌培养以草绿色链球菌及金黄色葡萄球菌最为常见。治疗以早期切开引流、控制血糖和控制感染并重、防治窒息和全身并发症为重要原则。

Clinical analysis of oral and maxillofacial spaces infections in diabetic patients:a report of 31 cases

The characterization and management of oral and maxillofacial spaces infections in diabetic patients were studied in order to determine the pattern of this clinical condition and formulate a management plan.There were 31 cases with average age of 61 years(s=9);the mean hospitalization time was 14 days(s=6);the average fasting blood glucose level on admission was 10.4 mmol/L.Of the 31 patients 20 were multiple-space infections and 11 were single-space infections.13 patients had major complications during admission.Odontogenic infection was the most common cause of the space infections.Streptococcus viridians and staphylococcus aureus were common organisms(5/19,4/19)identified through pus and/or blood cultures.Early surgical incision and drainage,perfect blood glucose control,intravenous antimicrobial therapy,preventing asphyxia and managing major complications are necessary and effective approaches for the management plan.