感染英語教學課件

Infectionin

Oral&MaxillofacialRegion

YuChuang-QiPandect6感染英語教學Infection---in

oral&maxillofacialregionInfection ConceptionTrait AnatomyArising RouteMutation InfluencefactorsDiagnosis PrinciplesTreatment PrinciplesPandect6感染英語教學Infection---conceptionInfectiousagent(bacteria)HostInflammatoryreactionEliminationtheinfectiouspathogenRepairtissueinjuryHypersensitivityAutoimmunediseaseBeneficialHarmfulprotectiveanddefensive6感染英語教學TraitofanatomyOralandnasalcavityToothSpaceBloodandLymphoidsystemBacteria6感染英語教學TraitofanatomyOralandnasalcavityMaxillarysinus(上頜竇)Temperature+Moisture(Beneficial)Reproduction+DevelopingBacteria---Exist6感染英語教學AlveolarboneSofttissueFascialspaceTraitofanatomyToothCariesPulpitisApicalinfection6感染英語教學TraitofanatomyFascialspace(間隙)---looseconnectivetissueAmongskin,maxillaryandmusclePurulent---spreadingwayDonotexistinhealthystateBecomefillingduringinfection6感染英語教學TraitofanatomyBloodandlymphoidsystemBeneficialAbundanceHarmfulDangeroustriangleLackingvalvesCavernoussinusCavernoussinusthrombosisEncephalicinfection6感染英語教學TraitofpathogenicbacteriumVariedNumerousStreptococcushemolyticus(溶血性鏈球菌)Staphylococcusaureus(金黃色葡萄球菌)Escherichiacoli(大腸桿菌)Anaerobe(厭氧菌)SterileSimpleComplexFlora(菌叢)6感染英語教學RouteofinfectionOdontogenicinfectionAdenogenous(腺源性)infectionTraumaticinfectionHematogenous(血源性)infectionIatrogenic(醫(yī)源性)infection6感染英語教學OdontogenicinfectionPeriapicalinfectionPericoronitis(冠周炎)6感染英語教學PeriapicalinfectionAcute-chronicPeriapicalinfectionFistular(瘺)Cellulitis(蜂窩織炎)Intraoralsofttissueabscess(膿腫)Osteomyelitis(骨髓炎)Septicemia(敗血癥)DeepfascialspaceinfectionAscendingfacial-cerebralinfection6感染英語教學PathwaysofPeriapicalinfection6感染英語教學Pericoronitis(冠周炎)Lowerthirdmolar6感染英語教學Infection---ArisingHost---defensesystemMicrobe---virulence

quantityLocalcircumstanceBalanceImbalanceScale6感染英語教學MutationInfluencefactorsChangingdirections6感染英語教學InfluencefactorsHost---defensesystemMicrobe---virulence

quantityTreatmentstrategy6感染英語教學ChangingdirectionsLocalizationandrecoveryAcutechronicDiffusionBloodsystem---Septicemialymphoidsystem---LymphadenopathyFromsubmandiblespaceinfectiontochestregion6感染英語教學Howtodiagnose?LocalSignsandSymptomsSystemicalSignsandSymptomsSignsandSymptoms6感染英語教學LocalSignsandSymptomsPainSwellingSurfaceerythemaPusformationLimitationofmotionLocally6感染英語教學SystemicalSignsandSymptomsFeverLymphadenopathyMalaiseToxicappearanceElevatedwhitebloodcellcount6感染英語教學Howtotreat?AcutestageChronicstage6感染英語教學AcutestageHostAntibiotictherapySurgicaldrainageandincision6感染英語教學HostMigrationofwhitebloodcellProductionofantibodiesMostimportantfactor---finaloutcomeTheinfections---curedbythehost,notbyantibioticsCriticalPrinciplesDefenseMechanisms6感染英語教學

Principlesforchoosingappropriateantibioticcausativeorganism(致病菌)sensitivityspecific,narrow-spectrumantibioticleasttoxicantibioticdrughistory(success,allergicandtoxic)Antibioticera6感染英語教學PrinciplesofantibioticadministrationProperdosePropertimeintervalProperrouteofadministration(oral,parenteral)Combinationantibiotictherapy6感染英語教學SurgicaldrainageandincisionHowtojudgethepusformation?PurposesofsurgicaldrainageandincisionPrinciplesofsurgicaldrainageandincision6感染英語教學Howtojudgethepusformation?ThreestagesInoculationCellulitisAbscessDuration--->5daysPalpation---FluctuantAppearance---ReddenedNeedleaspirationB-ultrasoundCTCharacteristic6感染英語教學Fluctuantexamination6感染英語教學Purposesofsurgicaldrainage&incisionRidthebodyoftoxicpurulentmaterialDecompressthetissuesAllowingbetterperfusionofbloodcontainingantibioticsanddefensiveelementsIncreasedoxygenationoftheinfectedarea6感染英語教學Infectioninmassetericspace6感染英語教學Infectioninmulti-spaceLudwig’sangina6感染英語教學Principlesofsurgicaldrainage&incisionPlacetheincisioninanestheticallyacceptablePlacetheincisioninadependentpositiontoencouragedrainagebygravityDissectbluntlythroughdeepertissuesandexploreallportionsoftheabscessPlaceadrainandstabilizeitwithsutures6感染英語教學Principlesofsurgicaldrainage&incision6感染英語教學

Lesiontooth---ImpactedtoothOsteomyelitisChronicstageSurgicalremovalofthefocus(病灶)6感染英語教學Conclu