St. Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, UK.
J Plast Reconstr Aesthet Surg. 2010 Mar;63(3):e261-2. doi: 10.1016/j.bjps.2009.05.045. Epub 2009 Jul 18.
Mastectomy with immediate breast reconstruction has become the standard treatment for Carcinoma breast in UK and many parts of the world. Autologus reconstruction with muscle sparing TRAM/ DIEP is the 'Gold Standard' for assessing the newer options for breast reconstruction. Toxic Shock Syndrome (TSS) is a rare but fatal condition particularly seen in the female population. Few cases of TSS have been reported in the Plastic Surgery literature following Silicone implant based reconstruction. We report a case of TSS following Deep Inferior Epigastric Perforator flap (DIEP)reconstruction. Due to the aggressive nature of TSS, the European Society of Intensive Care Medicine (ESICM) has initiated the 'Surviving Sepsis' campaign to propagate, information and management guidelines for the general public and health professionals. We present a case report with the pathophysiology of TSS.
在英国和世界上许多地区，乳房切除术联合即刻乳房重建已经成为乳腺癌的标准治疗方法。保留肌肉的游离 TRAM/DIEP 自体重建是评估乳房重建新选择的“金标准”。中毒性休克综合征（TSS）是一种罕见但致命的疾病，尤其见于女性人群。在基于硅胶植入物的重建后，整形外科文献中报道了少数 TSS 病例。我们报告了一例 DIEP 重建后发生 TSS 的病例。由于 TSS 的侵袭性，欧洲重症监护医学学会（ESICM）发起了“拯救脓毒症”运动，向公众和卫生专业人员传播信息和管理指南。我们报告了一例 TSS 的病例，并探讨了其发病机制。
