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颈部坏死性筋膜炎6例
引用本文:苏开明,殷善开,鲁文莺,张玉君,唐旭兰,朱华明. 颈部坏死性筋膜炎6例[J]. 山东医大基础医学院学报, 2007, 0(4)
作者姓名:苏开明  殷善开  鲁文莺  张玉君  唐旭兰  朱华明
作者单位:上海交通大学附属第六人民医院耳鼻咽喉-头颈外科 上海交通大学耳鼻咽喉科研究所,上海交通大学附属第六人民医院耳鼻咽喉-头颈外科,上海交通大学耳鼻咽喉科研究所,上海交通大学附属第六人民医院耳鼻咽喉-头颈外科,上海交通大学耳鼻咽喉科研究所,上海交通大学附属第六人民医院耳鼻咽喉-头颈外科,上海交通大学耳鼻咽喉科研究所,上海交通大学附属第六人民医院耳鼻咽喉-头颈外科,上海交通大学耳鼻咽喉科研究所,上海交通大学附属第六人民医院耳鼻咽喉-头颈外科,上海交通大学耳鼻咽喉科研究所,上海200233,上海200233,上海200233,上海200233,上海200233,上海200233
摘    要:目的:提高临床医师对颈部坏死性筋膜炎的认识。方法:回顾分析6例颈部坏死性筋膜炎患者的临床资料及治疗结果。结果:6例患者经手术及药物治疗,5例治愈,1例因并发脓毒血症导致多器官功能衰竭死亡。结论:颈部坏死性筋膜炎是一种进展迅速、病情凶险的感染性疾病,治疗上以尽早彻底清创、应用广谱抗菌素及支持治疗为主,增加对该病的认识有利于早期诊断,并有利于提高颈部坏死性筋膜炎的疗效。

关 键 词:坏死性筋膜炎  颈部  外科手术  感染

Cervical necrotizing fasciitis:a clinical report of 6 cases
SU Kai-ming,YIN Shan-kai,LU Wen-ying,ZHANG Yu-jun,TANG Xu-lan,ZHU Hua-ming. Cervical necrotizing fasciitis:a clinical report of 6 cases[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2007, 0(4)
Authors:SU Kai-ming  YIN Shan-kai  LU Wen-ying  ZHANG Yu-jun  TANG Xu-lan  ZHU Hua-ming
Abstract:Objective: To improve the acknowledgement of surgeons on cervical necrotizing fasciitis.Methods: Six cases of cervical necrotizing fasciitis were treated in our hospital from 1999 to 2006 and the clinical data were retrospectively analyzed.Results: All the patients were treated with active surgical debridement and medical therapy.Five cases were cured and one case died due to severe complications including sepsis and multiple organ failure.Conclusion: Necrotizing fasciitis of the neck is a rapidly progressive soft tissue infection with high morality.Successful treatment of this disease consists of radical surgical debridement as early as possible,broad-spectrum of antibiotics and supportive therapy.
Keywords:Necrotizing fasciitis  Neck  Surgical procedures  operative  Infection
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