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首页> 外文期刊>The Journal of dermatology >Surgical management of axillary necrotizing fasciitis: A case report
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Surgical management of axillary necrotizing fasciitis: A case report

机译：腋窝坏死性筋膜炎的外科治疗：病例报告

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Axillary necrotizing fasciitis (NF) is quite rare and requires special management with respect to debridement and delayed surgical reconstruction. A 76-year-old man presented to our emergency department with a 2-day history of high fever, severe left axillary pain and redness. A few hours later, he developed discoloration and hemorrhagic bulla in the axilla, and the redness enlarged on the trunk. Emergency surgical debridement was performed. The blackish necrosis in the axilla was completely excised and the erythematous areas in the chest wall were cut down to the level of the fascia. Split-thickness skin grafts were applied during the second debridement on the 30th day of hospitalization and negative pressure wound therapy was used. Although the grafts took partially, full thickness axillary defects remained. We performed reconstruction with a pedicled latissimus dorsi flap on day 78. This case highlights some of the important surgical considerations in the management of axillary NF.
机译：腋窝坏死性筋膜炎（NF）非常罕见，需要在清创和延迟手术重建方面进行特殊处理。一名76岁的男子因出现高烧，严重的左腋窝疼痛和发红的两天病史来到我们的急诊科。几个小时后，他的腋窝出现了变色和大疱性出血，躯干发红变大。进行紧急外科清创术。腋下的黑色坏死被完全切除，胸壁的红斑区域被切至筋膜水平。在住院的第30天进行第二次清创术时，使用了厚薄的皮肤移植物，并采用负压伤口疗法。尽管移植物被部分切除，但仍保留了全厚度的腋窝缺损。在第78天，我们用带蒂的背阔肌皮瓣进行了重建。该病例强调了腋窝NF的一些重要外科手术考虑。

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