심경부감염의 치료에 영향을 줄 수 있는 요인들에 대한 임상 분석

우주현; 차흥억; 이주형; 강일규; 백민관; 김동영

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자료유형: 학술저널

저자정보: 우주현 차흥억 이주형 강일규 백민관 김동영

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제51권 제6호

발행연도: 2008.1

수록면: 544 - 548 (5page)

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연구주제

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연구배경

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연구방법

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The treatment of deep neck infection is antibiotic therapy followed by surgery when it is indicated. There is no detailed guideline for the treatment according to clinical feature or extension of infection. So the purpose of this study is to find out factors affecting the treatment of deep neck infection in the point of clinical feature, laboratorial study and CT finding. Subjects and Method：We have conducted a retrospective study of 67 patients that had been seen between January 2005 and July 2007. We divided patients into a non-surgical group and a surgical group, analyzed clinical informations and laboratorial tests between the two groups, and studied the relations between lesion size, degree of infection and treatment method. Results：There were significant differences between the non-surgically treated and surgically treated groups. The latter group presented with older age, larger lesion, more numbers of involved spaces, highly elevated WBC counts, more decreased in protein counts and had longer treatment period prior to hospitalization than the former group. Also, the size of the affected lesion was bigger, the incidence of abscess formation higher and required surgical treatment more often. Conclusion：Surgical management has an advantage when the lesion size is more than 7 cm, even if it presents an incomplete abscess. If the laboratory study reveals highly sustained WBC counts after proper antibiotic therapy and low protein counts, more aggressive treatment should be considered, especially for old patients. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:544-8)

#Infection·Neck·Treatment.

참고문헌 (15)

참고문헌 신청

Beck AL / 1952 / The influence of the chemotherapeutic and antibiotic drugs on the incidence and course of deep neck infection / Ann Otol Rhinol Laryngol 61 (2) : 515 ~ 532

Bong JP / 1999 / Two cases of deep neck infection with mediastinal involvement / Korean J Otolaryngol-Head Neck Surg 42 (12) : 1587 ~ 1592

Choo MJ / 1997 / Efficacy of computed tomography for diagnosis and treatment of the deep neck infection / Korean J Otolaryngol-Head Neck Surg 40 (12) : 1826 ~ 1832

De Marie S / 1989 / Clinical infections and nonsurgical treatment of parapharyngeal space infections complicating throat infection / Rev Infect Dis 11 (6) : 975 ~ 982

Herrmann FR / 1992 / Serum albumin level on admission as a predictor of death, length of stay, and readmission / Arch Intern Med 152 (1) : 125 ~ 130

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주요연구분야 공학 > 전기전자공학 > 정보통신공학 의약학 > 임상의학 > 이비인후과학

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