Derin boyun enfeksiyonunun klinik özellikleri: 77 hastanın analizi

Amaç: Bu retrospektif çalışmada derin boyun enfeksiyonlu hastalarda hastanede kalım süresini etkileyen prognostik faktörler belirlendi ve bu hastalarda ortaya çıkan komplikasyonlar değerlendirildi.Hastalar ve Yöntemler: Kasım 2006 - Kasım 2012 tarihleri arasında derin boyun enfeksiyonu tanısıyla kliniğimizde tedavi gören 77 hasta 40 erkek, 37 kadın; ort. yaş 42.4±20.1 yıl; dağılım 11-88 yıl çalışmaya alındı. Hastaların demografik ve klinik özellikleri komplikasyon gelişimi ve hastanede kalım süreleri ile ilişkilerinin belirlenmesi için incelendi.Bulgular: Odontojenik orijin ve submandibüler yerleşim en sık görülen klinik görünümdü. Ciddi komplikasyon gelişen sekiz hastadan %10.4 ikisi %2.6 kaybedildi. Yaş, eşlik eden hastalık, yalnız anemi varlığı, Ludwig anjini ve retrofarengeal tutulum komplikasyon oranlarında artışla ilişkili iken p0.05 . Submandibüler yerleşim ve lökopeni yokluğu komplikasyon riskini azalttı p

Clinical features of deep neck infection: analysis of 77 patients

Objectives: This retrospective study aims to detect the prognostic factors which affect the duration of hospital stay and evaluate the complications which develop in patients with deep neck infection. Patients and Methods: The study included 77 patients 40 males, 37 females; mean age 42.4±20.1 years; range 11 to 88 years treated with a diagnosis of deep neck infection in our clinic between November 2006 and November 2012. Patients’ demographic and clinical features were analyzed to detect their associations with development of complications and hospitalization time. Results: Odontogenic origin and submandibular localization were the most frequently observed clinical appearance. Of eight patients 10.4% who developed serious complications, two 2.6% died. Age, comorbidity, presence of anemia alone, Ludwig's angina and retropharyngeal involvement were associated with increased rate of complications p0.05 . Submandibular localization and absence of leucopenia reduced the risk of complications p

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