颈部坏死性筋膜炎6例

山东大学耳鼻喉眼学报

颈部坏死性筋膜炎6例

苏开明，殷善开，鲁文莺，张玉君，唐旭兰，朱华明

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

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-08-24 发布日期:2007-08-24
通讯作者: 苏开明

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

Department of Otolaryngology & Head and Neck Surgery, Shanghai Sixth People′s Hospital，Otolaryngology Institute of Shanghai Jiaotong University, Shanghai 200233

Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
Contact: SU Kai-ming

摘要/Abstract

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

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.

Key words: Necrotizing fasciitis, Neck, Surgical procedures, operative, Infection

中图分类号:

R686.3

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]. 山东大学耳鼻喉眼学报, 2007, 21(4): 364-367 .

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 SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(4): 364-367 .

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