CAJ | 학술논문

目的：探讨急性坏死性筋膜炎合并脓毒性休克的诊断和治疗，提高早期诊断和综合救治水平。方法报告3例急性腹壁坏死性筋膜炎合并脓毒性休克、多器官功能衰竭的早期诊断和早期病灶的切开引流、脓毒性休克的抢救和脏器功能支持、后期创面的修复和愈合，并复习国内外相关文献。结果3例诊断后及时手术切开引流、积极抢救脓毒性休克稳定生命体征、后期切口拉拢缝合、创面愈合良好，患者痊愈。结论早期明确诊断、及时切开清创引流、延期修复创面并结合积极抢救休克和脏器功能支持的综合治疗是救治急性坏死性筋膜炎合并脓毒性休克的关键。
목적：탐토급성배사성근막염합병농독성휴극적진단화치료，제고조기진단화종합구치수평。방법보고3례급성복벽배사성근막염합병농독성휴극、다기관공능쇠갈적조기진단화조기병조적절개인류、농독성휴극적창구화장기공능지지、후기창면적수복화유합，병복습국내외상관문헌。결과3례진단후급시수술절개인류、적겁창구농독성휴극은정생명체정、후기절구랍롱봉합、창면유합량호，환자전유。결론조기명학진단、급시절개청창인류、연기수복창면병결합적겁창구휴극화장기공능지지적종합치료시구치급성배사성근막염합병농독성휴극적관건。
Objective To investigate the diagnosis and treatment of acute necrotizing fasciitis complicated with septic shock and improve the level of early diagnosis and comprehensive treatment. Methods The early diagnosis,incision and drainage for early lesions,emergency treatment for septic shock,organ function supporting and delayed wound repair were reported in three cases of acute necrotizing fasciitis of abdominal wall complicated with septic shock and multiple organ dysfunction syndromes with a review of related literature.Results The three patients were welly recovered with good wound healing af-ter early diagnosis,timely incision and drainage,positive emergency treatment for septic shock,stabilization for vital signs and delayed wound repair.Conclusion The comprehensive therapy of early diagnosis,time-ly debridement and drainage,delayed wound repair,emergency treatment for septic shock and organ func-tion supporting is crucial to improve the outcome for patients of acute necrotizing fasciitis complicated with septic shock.