{"created":"2023-07-27T04:41:00.387630+00:00","id":23161,"links":{},"metadata":{"_buckets":{"deposit":"3d27811a-ce25-4007-a0b2-a7e2eed8abf8"},"_deposit":{"created_by":3,"id":"23161","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"23161"},"status":"published"},"_oai":{"id":"oai:tohoku.repo.nii.ac.jp:00023161","sets":["89:178"]},"author_link":["54906","54910","54897","54911","54909","54905","54915","54902","54907","54901","54898","54908","54914","54912","54899","54913","54916","54904","54900","54903"],"item_4_alternative_title_20":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of severe cervical 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抗生物質の進歩により減少の傾向にあるが, 今回, 口腔底蜂窠織炎より頸部にまで炎症の波及した重篤な1例を経験したので報告する。症例は, 25歳男性, 昭和58年9月15日頃より区部歯肉に落痛, 腫脹を自覚し, 9月21日某歯科にて厄を抜歯されたが, 嚥下障害強度なため, 処方された抗生物質を服用できず, また連休にかかったため, 歯科医を転々と受診した後, 9月25日当科を受診した。左側口腔底蜂軍織炎の診断のともに, 左側顎下部および口腔底に切開を加えたが排膿はなく, また, 抗生物質の点滴静注にもかかわらず, 炎症が右側まで拡大したため, 願下部並びに右側の顎下部, 口腔底にも切開を加えたが, 38～39℃の弛張熱が続いたため, 敗血症を疑い血液培養を行なったが陰性だった。症状が改善しないため右側頸動脈三角への炎症の拡大を疑い, 胸鎖乳突筋前縁部に切開を加えたところ排膿および同部結合組織の壊死を認め, 切開後は次第に症状は緩解した。本例が重篤な症状を呈するに至った原因として, 炎症の急性期における抜歯と, 抜歯後, 処方された抗生物質を服用できなかったこと, 感受性試験で有効と思われた抗生物質が著効を示さなかったことなどが考えられるが, このような重篤な感染症では抗生物質にのみ頼ることなく, 適確な切開排膿の処置を施すことが重要と思われた。","subitem_description_type":"Abstract"}]},"item_4_description_41":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"紀要類(bulletin)","subitem_description_type":"Other"}]},"item_4_description_66":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"912345 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