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《Journal of Oral and Maxillofacial Surgery》 2013-05
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Comparison of Multi-space Infections of the Head and Neck in Adults and the Aged Patients:A Retrospective Study of 242 Cases

ZHENG Ling-yan;ZHANG Wei-jie;YANG Chi;CAI Xie-yi;JIANG Bin;WANG Bao-li;PU Yi-ping;JIN Jia-min;LI Jie-yan;GUAN Dan-ping;Department of Oral and Maxillofacial Surgery,The Ninth People's Hospital,College of Stomatology,Shanghai Jiaotong University School of Medicine,Shanghai Key Laboratory of Stomatology;Shanghai Jiaotong University School of Medicine;  
Objective:This study aimed to retrospective analyze the difference between the aged patients(≥ 60 years)and adults(60 years) with multi-space infections of the head and neck.Methods:242 patients received treatment for severe multi-space infections of the head and neck region.Demographics,clinical parameters(the coexisting conditions,the etiology,the length between first symptomatic onset and admission,the number of spaces affected,and the distribution of involved spaces),laboratory values(bacteriology,admission blood glucose level,admission white blood cell count,and percent of neutrophil on admission) and treatment parameters(the number of incisions,complications and length of hospital stay) were collected and analyzed for their clinical significance.Statistical analyses between groups were performed using the Student t test,Fisher 's exact test,and chi-square.Results:Compared with the adults,the elders had more system diseases(P=0.0002),had longer hospital stays(P=0.02),and developed more complications(P=0.04).Conclusion:This study demonstrated the differences existed in clinical features between the adult and the aged patients with multispace infections of the head and neck.
【Fund】: 国家自然科学基金资助项目(81100766);; 上海市重点学科建设项目(S30206);; 上海高校创新团队发展计划;; 上海市卫生局基金(2007008);; 上海交通大学医学院校基金(YZ1024);; 上海市科学技术委员会医学引导类基金(08DZ2271100;10411964400)
【CateGory Index】: R782.3
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