坏死性颈筋膜炎的临床诊治进展

doi:10.6040/j.issn.1673-3770.0.2020.072

摘要/Abstract

摘要： 坏死性颈筋膜炎是由细菌混合感染引起的颈部严重软组织炎症,以颈部皮下组织和深浅筋膜坏死为特征,易感人群以老年人及合并慢性基础疾病(如糖尿病)者为主。临床上早期诊断率较低,病情进展迅速,易出现危及生命的并发症,如下行坏死性纵隔炎、脓毒性休克等,病死率极高。就坏死性颈筋膜炎的临床诊治做综述,为更好对其早期诊断及治疗提供帮助。

关键词: 筋膜炎, 坏死, 颈部, 诊断, 治疗

Abstract: Cervical necrotizing fasciitis(CNF)is a severe soft tissue inflammation of the neck caused by mixed bacterial infections. It is characterized by necrosis of neck subcutaneous tissue with deep and shallow fasciitis. Elderly individuals and those with chronic comorbid diseases(such as diabetes)are more susceptible to CNF. The early clinical diagnosis rate is lowand the disease progresses rapidly. Life-threatening complications are such as descending necrotizing mediastinitisand septic shock are frequently observed. The mortality rate is extremely high. This article reviews the clinical diagnosis and treatment of CNF to facilitate early diagnosis and treatment.

Key words: Fasciitis, Necrotizing, Neck, Diagnosis, Treatment

中图分类号:

R686

袁康龙,肖旭平. 坏死性颈筋膜炎的临床诊治进展[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 135-138.

YUAN Kanglong,XIAO Xuping. Progress in the clinical diagnosis and treatment of cervical necrotizing fasciitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 135-138.

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