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Necrotizing fasciitis: a surgical emergency

机译:坏死性筋膜炎:紧急手术

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摘要

Accurate assessment and timely interventions are critical in the treatment of patients affected with necrotizing fasciitis, a rare, fulminating, potentially life-threatening, infectious process of the soft tissues. Understanding the natural history and unique characteristics of this disease is crucial to achieve early recognition, effective management and a favorable patient outcome. Classic symptoms include severe pain, erythema, mottling, crepitus, skin anesthesia, warmth, tenderness, bullous formations and edema in the affected area and fever. This article aims at reviewing the information known about this disease, collected from various sources. Radical surgical debridement, broad-spectrum antibiotics, negative pressure wound therapy and hyperbaric oxygen therapy are considered to be the cornerstones of treatment.
机译:准确评估和及时干预对于治疗坏死性筋膜炎是至关重要的,坏死性筋膜炎是一种罕见的,致命的,可能威胁生命的软组织感染过程。了解这种疾病的自然病史和独特特征对于实现及早识别,有效管理和患者取得良好结果至关重要。经典症状包括严重的疼痛,红斑,斑驳,咯咯声,皮肤麻醉,温暖,压痛,患处大疱和水肿以及发烧。本文旨在回顾从各种来源收集的有关该疾病的已知信息。根治性手术清创术,广谱抗生素,负压伤口疗法和高压氧疗法被认为是治疗的基石。

著录项

  • 来源
    《Updates in Surgery》 |2010年第2期|83-87|共5页
  • 作者单位

    Istituto di Chirurgia Generale e Toracica Università degli Studi di Ferrara Azienda Ospedaliero-Universitaria Arcispedale Sant’Anna Ferrara Italy;

    Istituto di Chirurgia Generale e Toracica Università degli Studi di Ferrara Azienda Ospedaliero-Universitaria Arcispedale Sant’Anna Ferrara Italy;

    Istituto di Chirurgia Generale e Toracica Università degli Studi di Ferrara Azienda Ospedaliero-Universitaria Arcispedale Sant’Anna Ferrara Italy;

    Istituto di Chirurgia Generale e Toracica Università degli Studi di Ferrara Azienda Ospedaliero-Universitaria Arcispedale Sant’Anna Ferrara Italy;

    Istituto di Clinica Chirurgica Modulo dipartimentale di Chirurgia d’Urgenza Università degli Studi di Ferrara Azienda Ospedaliero-Universitaria Arcispedale Sant’Anna Ferrara Italy;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Necrotizing fasciitis; Infection; Debridement; Negative pressure wound therapy;

    机译:坏死性筋膜炎;感染;清创术;负压伤口治疗;

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