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乳房切除术后伤口的坏死性筋膜炎

Necrotizing fasciitis in a postmastectomy wound.

作者信息

Velchuru Vamsi R, Van Der Walt Marius, Sturzaker Hugh G

机构信息

Department of General Surgery, James Paget Healthcare NHS Trust, Great Yarmouth, Norfolk, United Kingdom.

出版信息

Breast J. 2006 Jan-Feb;12(1):72-4. doi: 10.1111/j.1075-122X.2006.00186.x.

Abstract

Necrotizing fasciitis is a rare, life-threatening condition, characterized by progressive gangrene of the subcutaneous tissue with subsequent death of the overlying skin. It is associated with a high mortality rate. We describe a patient who developed this condition after elective mastectomy and survived. Necrotizing fasciitis is known to occur in any part of the body, including the breast, and also following any kind of surgery, however, to the best of our knowledge this condition has never been described after a mastectomy. The diagnosis and management algorithm of this condition is discussed.

摘要

坏死性筋膜炎是一种罕见的、危及生命的疾病,其特征为皮下组织进行性坏疽,随后覆盖其上的皮肤坏死。它与高死亡率相关。我们描述了一名患者,该患者在择期乳房切除术后发生了这种疾病并存活下来。已知坏死性筋膜炎可发生于身体的任何部位,包括乳房,也可发生于任何类型的手术后,然而,据我们所知,这种情况在乳房切除术后从未被描述过。本文讨论了该疾病的诊断和处理流程。

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