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颈部坏死性筋膜炎的诊断和治疗(附二例报告) 被引量:2

Diagnosis and treatment of cervical necrotizing fasciitis: A report of 2 cases
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摘要 结合文献复习 ,探讨坏死性筋膜炎 (necrotizing fasciitis,NF)的病因、临床表现及诊治。早期给予大剂量强力广谱抗生素 ;及时脓肿切开 ,彻底清创引流 ,切除全部坏死组织直至可见到出血红润的正常组织 ,创面用 3%双氧水、抗生素液冲洗后放置引流 ;术后加强换药 ,伤口 期缝合 ;可选择使用高压氧辅助治疗。治疗过程中注意观察处理原发感染病灶及并发症。结果 2例均治愈 ,伤口延期愈合。分析认为 ,及早诊断。 To explore the causes,clinical manifestations and treatment of necrotizing fasciitis (NF) and to review the literatures. Large dosage and effective broad spectrum antibiotics were given at the early stage.The abscess was incised in time and drained thoroughly.All the necrotic tissue was cut until the fresh normal tissue appeared.Drainage tubes was set in the wound after the wound were irrigated with 3% hydrogen peroxide and antiseptic solution.The times of dressing change must be enough after operation and the wound was sutured.The supplementary therapy of hyperbaric oxygen may be selected to use.The primary infective focus and complications were observed and treated during the therapeutic course.Both cases were cured,but the wound healing were delayed. The keys of successful treatment were the early diagnosis,and in time full dosage treatment of antibiotic,the effective surgical interference should be performed and the complication prevented and cured.
出处 《第二军医大学学报》 CAS CSCD 北大核心 2003年第2期142-142,151,共2页 Academic Journal of Second Military Medical University
关键词 坏死性筋膜炎 颈部 诊断 治疗 necrotizing fasciitis cervix
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参考文献4

  • 1Maisel RH,Karlen R.Cervical necrotizing fasciitis[J].Laryngoscope,1994,104(7):795-798.
  • 2Reed JM,Anand VK.Odontogenic cervical necrotizing fasciitis with intrathoracic extension[J].Otolaryngol Head Neck Surg,1992,107(4):596-600.
  • 3Wenig BL,Shikowitz MJ,Abramson AL .Necrotizing fasciitis as a lethal complication of peritonsiller abscess[J].Laryngoscope,1984,94 (12 Pt 1):1576-1579.
  • 4Shupark A,Shoshani O,Goldenberg I,et al.Necrotizing fasciitis an indication for hyperbaric oxygen therapy[J].Surgery,1995,118(5):873-878.

同被引文献27

  • 1许玉蓉.坏死性筋膜炎的诊断与治疗(附8例报告)[J].河北医药,2005,27(8):616-616. 被引量:4
  • 2赵宗珉,赵金满,万建华.肺炎克雷伯杆菌肝脓肿与非肺炎克雷伯杆菌肝脓肿的临床比较[J].世界华人消化杂志,2006,14(16):1582-1586. 被引量:25
  • 3刘玉和,高为华,王全桂,肖水芳,秦永.广泛性颈部坏死性筋膜炎(附2例报告)[J].临床耳鼻咽喉头颈外科杂志,2007,21(15):694-696. 被引量:3
  • 4Giuliano A,Lewis FJr,Hadley K,et al.Bacteriology of Necrotizing fasciitis[J].Am J Surg,1977,134(1):52-57.
  • 5Miller JD.The importance of early diagnosis and surgical treatment of necrotizing fasciitis[J].Surg Gynecal obstet,1983,157(3):197-200.
  • 6熊海斌、杨新才,董绍杰,等.坏死性筋膜炎9例诊治体会[J].实用外科杂志,2003,13(1):33.
  • 7华积德,申功恩,闻兆章,等.彻底清创立即植皮治疗坏死性筋膜炎[J].中华外科杂志,2005,25(12):697.
  • 8Gozal D,Avishai Z,Avigder S,et al.Mecrotizing fasciitis Arch Surg,2006,121(2):233.
  • 9Shupak A,Shoshani O,Goldenberg I,et al.Necrotizing fasciitis:AN indication for hyperbaric oxggenation therapy[J].Surg,2008,118(5):873.
  • 10PETITPAS F, BLANCAL J P, MATEO J, et al. Factors associated with the mediastinal spread o{ cer- vical necrotizing fasciitis[J]. Ann Thorac Surg,2012, 93=234--238.

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