糖尿病并发急性坏死性筋膜炎五例诊治分析

Clinical analysis on diagnosis and treatment of acute necrotizing fasciitis combined with diabetes

目的探讨急性坏死性筋膜炎的病因病理、临床特点和治疗原则。方法报告5例糖尿病并发急性坏死性筋膜炎患者的诊治经过并进行相关文献复习。结果5例糖尿病并发急性坏死性筋膜炎患者经抗休克、清创、浅部挂橡皮筋引流、深部置管引流冲洗、抗炎、控制血糖及对症支持等治疗,均治愈出院。结论急性坏死性筋膜炎是一种累及肛周、阴囊和会阴部的感染性坏死性筋膜炎,及时正确的诊断、处理可减少其死亡率和并发症;CT检查有利于确定此病的累及范围和发现一些隐蔽病灶;治疗原则为早期清创,正确引流,全身应用大剂量广谱抗生素及治疗基础疾病。

Objective To study the pathological process, characteristic symptoms and the therapeutic policy of acute necrotizing fasciitis. Methods Reported the course of diagnosis and treatment of 5 patients with acute necrotizing fasciitis and reviewed the documents about acute necrotizing fasciitis. Results 5 patients with acute necrotizing fasciitis combined with diabetes received surgical treatment, including autishock, debridement, drainage, washing, control of blood glucose and antibiotic therapy, all of 5 cases...