以急性会厌炎为首诊的3例颈部坏死性筋膜炎病例报告并文献复习

目的 探讨急性会厌炎与颈部坏死性筋膜炎的相关性及治疗经验.方法 回顾性分析3例以急性会厌炎为首诊的颈部坏死性筋膜炎患者的临床资料,对急性会厌炎与颈部坏死性筋膜炎间的相关性及诊治经过进行分析.结果 3例患者经颈部CT明确诊断后均行手术治疗,1例死亡,2例治愈出院.结论 对于以急性会厌炎为首诊经积极抗感染抗炎治疗无效的患者...

Three cases of diagnosis and treatment of cervical necrotizing fasciitis with a primary diagnosis of acute epiglottitis

Objective To investigate the relationship between acute epiglottitis and cervical necrotizing fasciitis and its’ clinical course. Methods A retrospective analysis of the clinical data of 3 cases of cervical necrotizing fasciitis with acute epiglottitis as the primary diagnosis. The correlation, diagnosis, and treatment of acute epiglottitisand cervical necrotizing fasciitis were analyzed. Results Three patients underwentsurgery after a definite diagnosis by neck CT.(1fatality and 2recoveries). Conclusion The possibility of cervical necrotizing fasciitis should be considered inpatients with acute epiglottitis who fail to respond to active anti-infective and anti-inflammatory treatment. Early surgery, drainage, and vigilance regarding the basic treatment of systemic diseases are keys to the treatment of cervical necrotizing fasciitis.