--感染英语教学.pptx

,#,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,Infection inOral&Maxillofacial Region,Yu Chuang-Qi,Pandect,Infection-inoral&maxillofacial region,InfectionConception,TraitAnatomy,ArisingRoute,MutationInfluence factors,DiagnosisPrinciples,TreatmentPrinciples,Pandect,Infection-conception,Infectious agent(bacteria),Host,Inflammatory reaction,Elimination the infectious pathogen,Repair tissue injury,Hypersensitivity Autoimmune disease,Beneficial,Harmful,protective and defensive,Trait of anatomy,Oral and nasal cavity,Tooth,Space,Blood and Lymphoid system,Bacteria,Trait of anatomy,Oral and nasal cavity,Maxillary sinus(,上颌窦,),Temperature+Moisture,(Beneficial),Reproduction+Developing,Bacteria-Exist,Alveolar bone,Soft tissue,Fascial space,Trait of anatomy,Tooth,Caries,Pulpitis,Apical infection,Trait of anatomy,Fascial space(,间隙,)-loose connective tissue,Among skin,maxillary and muscle,Purulent-spreading way,Do not exist in healthy state,Become filling during infection,Trait of anatomy,Blood and lymphoid system,Beneficial,Abundance,Harmful,Dangerous triangle,Lacking valves,Cavernous sinus,Cavernous sinus thrombosis,Encephalic infection,Trait of pathogenic bacterium,Varied,Numerous,Streptococcus hemolyticus,(,溶血性链球菌,),Staphylococcus aureus,(,金黄色葡萄球菌,),Escherichia coli,(,大肠杆菌,),Anaerobe,(,厌氧菌,),Sterile,Simple,Complex,Flora(,菌丛,),Route of infection,Odontogenic infection,Adenogenous(,腺源性,)infection,Traumatic infection,Hematogenous(,血源性,)infection,Iatrogenic(,医源性,)infection,Odontogenic infection,Periapical infection,Pericoronitis(,冠周炎,),Periapical infection,Acute-chronic,Periapical infection,Fistular(,瘘,),Cellulitis,(,蜂窝织炎,),Intraoral soft tissue abscess,(,脓肿,),Osteomyelitis,(,骨髓炎,),Septicemia(,败血症,),Deep fascial space infection,Ascending facial-cerebral infection,Pathways of Periapical infection,Pericoronitis(,冠周炎,),Lower third molar,Infection-Arising,Host-defense system,Microbe-virulence quantity,Local circumstance,Balance Imbalance,Scale,Mutation,Influence factors,Changing directions,Influence factors,Host-defense system,Microbe-virulence quantity,Treatment strategy,Changing directions,Localization and recovery,Acute chronic,Diffusion,Blood system-Septicemia,lymphoid system-Lymphadenopathy,From submandible space infection to chest region,How to diagnose?,Local Signs and Symptoms,Systemical Signs and Symptoms,Signs and Symptoms,Local Signs and Symptoms,Pain,Swelling,Surface erythema,Pus formation,Limitation of motion,Locally,Systemical Signs and Symptoms,Fever,Lymphadenopathy,Malaise,Toxic appearance,Elevated white blood cell count,How to treat?,Acute stage,Chronic stage,Acute stage,Host,Antibiotic therapy,Surgical drainage and incision,Host,Migration of white blood cell,Production of antibodies,Most important factor-final outcome,The infections-cured by the host,not by antibiotics,Critical Principles,Defense Mechanisms,Principles for choosing appropriate antibiotic,causative organism(,致病菌,),sensitivity,specific,narrow-spectrum antibiotic,least toxic antibiotic,drug history(success,allergic and toxic),Antibiotic era,Principles of antibiotic administration,Proper dose,Proper time interval,Proper route of administration(oral,parenteral),Combination antibiotic therapy,Surgical drainage and incision,How to judge the pus formation?,Purposes of surgical drainage and incision,Principles of surgical drainage and incision,How to judge the pus formation?,Three stages,Inoculation,Cellulitis,Abscess,Duration-,5 days,Palpation-Fluctuant,Appearance-Reddened,Needle aspiration,B-ultrasound,CT,Characteristic,Fluctuant examination,Purposes of surgical drainage&incision,Rid the body of toxic purulent material,Decompress the tissues,Allowing better perfusion of blood containing antibiotics and defensive elements,Increased oxygenation of the infected area,Infection in masseteric space,Infection in multi-space,Ludwigs angina,Principles of surgical drainage&incision,Place the incision in an esthetically acceptable,Place the incision in a dependent position to encourage drainage by gravity,Dissect bluntly through deeper tissues and explore all portions of the abscess,Place a drain and stabilize it with sutures,Principles of surgical drainage&incision,Lesion tooth-Impacted tooth,Osteomyelitis,Chronic stage,Surgical removal of the focus(,病灶,),Conclusion,The trait of Infection,Odontogenic infection,mutation of infectious,Diagnosis of the infection,Diagnosis of the abscess formation,The principles of the treatment,Infection in oral&maxillo-facial region,Thank you,