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治疗颌面部蜂窝织炎216例(牙源性占60.6％,外伤性23.6％。腺源性15.8％),男137例,女79例。大多数(80.2％)年龄20～50岁。实验组111例(轻型蜂窝织炎18,中型68,重型25)。对照组105例(轻型21,中型64,重型20)。实验组治疗方法:轻型,切开化脓灶,切除坏死物,安置多孔引流管主动引流并经常灌洗伤口,手术切口初期缝合。中型和重型,在手术台上先经患侧颞浅动脉造口插入导管至颈外动脉,在动脉内注入半日量抗生素和2500u肝素,随后(即在局部抗生素
216 cases of maxillofacial cellulitis (odontogenic 60.6%, traumatic 23.6%, adenogenic 15.8%), 137 males and 79 females. Most (80.2%) were 20 to 50 years old. The experimental group of 111 cases (light cellulitis 18, medium 68, heavy 25). Control group, 105 cases (light 21, medium 64, heavy 20). Experimental group treatment: light, incision of the foci, removal of necrosis, placement of porous drainage tube active drainage and often lavage wounds, surgical incision initial suture. Medium and heavy, on the operating table first by the lateral superficial temporal artery stoma catheterization into the external carotid artery, intra-arterial infusion of half-daily antibiotics and 2500u heparin, then (ie, in the local antibiotics