口腔颌面外科杂志Issue(4)：288-292,5.DOI:10.3969/j.issn.1005-4979.2015.04.010
颈部坏死性筋膜炎诊治的回顾性分析
Cervical Necrotizing Fasciitis：a Retrospective Review of 11 Cases
陈书军 1陈宇轩 1计宁 2肖剑锐 1陈双民 1朱建光3
作者信息
- 1. 解放军第252医院口腔科
- 2. 质量控制科
- 3. 耳鼻喉科，河北 保定 071000
- 折叠
摘要
Abstract
Objective:To review the clinical emergency management of cervical necrotizing fasciitis (CNF) patients. Methods:11 CNF patients (8 males, 3 females) with were retrospectively reviewed. All the patients underwent comprehensive physi-cal examination, CT evaluation and laboratory examination. After a confirmed diagnosis, emergency surgical incision and drainage were performed. Characteristics were analyzed including clinical symptoms and signs, systemic diseases, radio-logical manifestations, laboratory examination, surgical findings, and treatment outcomes. Results:The main symptoms and signs of CNF included pain, dysphasia, fever, swelling, airway obstruction, and septic shock. Laboratory findings showed, all cases had a significantly reduction in plasma albumin level. 8 cases had abnormal white blood cell count and neu-trophil ratio, 4 cases had diabetes mellitus. The most predominant CT findings was gas formation along fascial planes and irregular jagged edge around the gas chamber. The typical surgical findings included infection spreading along fascial planes and lack of bleeding of the fascia during dissection. 3 patients died of functional failure of multiple organs with an overall mortality rate of 27.3%. Conclusion:CNF is an aggressive infection associated with high mortality. Early diagnosis and aggressive debridement combined with general support therapy may reduce mortality rate.关键词
坏死性筋膜炎/颈部/急诊处理Key words
necrotizing fasciitis/neck/emergency management分类
医药卫生引用本文复制引用
陈书军,陈宇轩,计宁,肖剑锐,陈双民,朱建光..颈部坏死性筋膜炎诊治的回顾性分析[J].口腔颌面外科杂志,2015,(4):288-292,5.
