Mateo J, Petipas F, Payen D
Département d'anesthésie-réanimation, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France.
Ann Fr Anesth Reanim. 2006 Sep;25(9):975-7. doi: 10.1016/j.annfar.2006.03.019. Epub 2006 May 3.
Cervical severe skin and soft tissue infections and necrotizing fasciitis originate from dental or pharyngeal infections. When compared to other forms of skin and soft tissue infections, they are recognized late, usually after one week of evolution often in a patient receiving antibiotic treatments. Extensions toward adjacent anatomical structures including mediastinum lead to a life-threatening prognosis. The cutaneous appearance of these severe infections is usually inflammatory cervical signs combined to facial oedema. These moderate clinical signs require immediate surgery after CT scan imaging.
颈部严重皮肤及软组织感染和坏死性筋膜炎源于牙科或咽部感染。与其他形式的皮肤及软组织感染相比，它们往往在病情发展一周后才被发现，通常是在接受抗生素治疗的患者身上，发现时间较晚。感染向包括纵隔在内的相邻解剖结构蔓延会导致危及生命的预后。这些严重感染的皮肤表现通常是颈部炎症体征合并面部水肿。这些中度临床体征在CT扫描成像后需要立即进行手术。
