颈部坏死性筋膜炎的临床特点及处理策略

周兰柱; 周恩晖; 刘素茹; 易红良

doi:10.13201/j.issn.1001-1781.2019.06.017

颈部坏死性筋膜炎的临床特点及处理策略

- 1 蚌埠医学院第一附属医院耳鼻咽喉科(安徽蚌埠, 233003);
- 2 海军军医大学附属公利医院耳鼻咽喉科;
- 3 上海交通大学附属第六人民医院耳鼻咽喉科
基金项目:
上海市浦东新区卫生系统重点学科群建设资助 (No:PWZxq2017-04)

详细信息

通讯作者: 周恩晖,E-mail:enhui_zhou@126.com

中图分类号: R653

收稿日期: 2018-12-13

Clinical characteristics and management of cervical necrotizing fasciitis

- 1 Department of Otolaryngology, the First Affiliated Hospital of Bengbu Medical College, Anhui Province, Bengbu, 233004, China;
- 2 Department of Otolaryngology, Shanghai Pudong New Area Gongli Hospital, Navy Military Medical University;
- 3 Department of Otolaryngology, Shanghai Sixth People's Hospital, Otolaryngology Institute of Shanghai Jiaotong University

More Information

Corresponding author: ZHOU Enhui, E-mail: enhui_zhou@126.com

Received Date: 13 December 2018

摘要

摘要: 目的:总结颈部坏死性筋膜炎的临床特点及处理,为该类疾病的诊治提供参考。方法:回顾性分析61例颈部坏死性筋膜炎患者的临床资料。61例患者均尽早行彻底手术清创,并积极予以广谱抗生素治疗。结果:14例出现并发症,2例死亡。59例最终治愈,随访至今(至少3个月)无复发或死亡,3例出现声嘶。结论:颈部坏死性筋膜炎发病后应尽早行彻底的手术清创并积极抗感染、控制合并疾病以及全身支持治疗。
- 坏死性筋膜炎 /
- 感染 /
- 清创术
Abstract: Objective: To investigate the clinical characteristics and treatment of cervical necrotizing fasciitis. Method: Clinical data of 61 patients were analyzed retrospectively. All patients were underwent surgical debridement and treated with broad-spectrum antibiotics after diagnose. Result: Complications occurred in 14 patients. Fifty-nine patients were cured while 2 patients died. After 3 months or more follow-up, 3 patients accompanied with sequelae of vocal hoarseness, and no patient recurred or died. Conclusion: Early surgical debridement and the use of antibiotics should be taken as soon as possible after diagnosis of cervical necrotizing fasciitis, as well as control of comorbidities and systemic support treatment in order to prevent complications and deaths.
- necrotizing fasciitis /
- infection /
- debridement

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