中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
23期
52-54
,共3页
坏死性筋膜炎%诊断%治疗%清创
壞死性觔膜炎%診斷%治療%清創
배사성근막염%진단%치료%청창
Necrotizing fasciitis%Diagnosis%Treatment%Debridement
目的 探讨坏死性筋膜炎的诊断及治疗方法.方法 回顾性分析17例坏死性筋膜炎的病例特点、治疗及疗效.结果 17例患者经过彻底清创、有效抗感染、营养支持等治疗,创面以皮辩转移和游离皮片移植的方式修复,全部治愈.结论 坏死性筋膜炎治疗的关键是早期诊断、彻底清创、有效的抗感染治疗,同时配合积极的营养支持治疗,创面修复方式多以皮瓣转移和游离皮片移植为主.
目的 探討壞死性觔膜炎的診斷及治療方法.方法 迴顧性分析17例壞死性觔膜炎的病例特點、治療及療效.結果 17例患者經過徹底清創、有效抗感染、營養支持等治療,創麵以皮辯轉移和遊離皮片移植的方式脩複,全部治愈.結論 壞死性觔膜炎治療的關鍵是早期診斷、徹底清創、有效的抗感染治療,同時配閤積極的營養支持治療,創麵脩複方式多以皮瓣轉移和遊離皮片移植為主.
목적 탐토배사성근막염적진단급치료방법.방법 회고성분석17례배사성근막염적병례특점、치료급료효.결과 17례환자경과철저청창、유효항감염、영양지지등치료,창면이피변전이화유리피편이식적방식수복,전부치유.결론 배사성근막염치료적관건시조기진단、철저청창、유효적항감염치료,동시배합적겁적영양지지치료,창면수복방식다이피판전이화유리피편이식위주.
Objective To investigate the diagnosis and clinical treatment of necrotizing fasciitis (NF).Methods The characteristics,treatment and curative effect of 17 NF patients admitted in our hospital were analyzed retrospectively.Results The 17 patients recieved extensive debridement of the necrotic tissue,intravenous antibiotics,parenteral nutrition.When the wound was granulated well enough,the plastic surgical reconstruction including skin grafting and transplantation of skin flap was per formed.All 17 patients were cured.Conclusions The key of treatment of necrotizing fasciitis was early diagnosis,extensive debridement of the necrotic tissue,intravenous antibiotics,parenteral nutrition.Flap and skin grafts are the main methods for wound repairment.
