婴儿肛周坏死性筋膜炎1例

Case report of infant perianal necrotizing fasciitis

对广州市第一人民医院儿科收治的1例肛周坏死性筋膜炎患儿的临床资料进行回顾性分析。患儿,女,5个月余,以发热、腹泻起病,仅发病10 d患儿肛周皮肤由红肿进展为肛周皮肤及软组织溃烂,脂肪液化,可见直肠暴露,予手术切开、彻底清创引流并选用敏感抗生素等治疗后患儿痊愈出院。肛周坏死性筋膜炎是一种极为罕见的、由多种细菌感染引起的坏死性软组织感染。因为其早期表现难以鉴别、症状严重、病死率高,所以应在临床工作中予以重视。

The clinical data of a child with perianal necrotizing fasciitis admitted to the Department of Pedia-trics of Guangzhou First People′s Hospital were retrospectively analyzed.The child,girl,more than 5 months old,the clinical features of the onset of fever and diarrhea,only 10 days after the onset,the child′s skin progressed from redness and swelling to perianal skin and soft tissue ulcers,fat liquefaction,visible rectum exposure.After surgical incision,thorough debridement and drainage and selection of sensitive antibiotics,the child recovered and was discharged.Perianal necrotizing fasciitis is a rare necrotizing soft tissue infection caused by a variety of bacterial infections.Because its early performance is difficult to distinguish,the symptoms are serious,and the mortality rate is high.It should been pain attention in clinical work.