Canavese Federico, Krajbich Joseph I, Kuang Anna A
Shriners Hospital, Portland, Oregon, USA.
J Pediatr Orthop B. 2009 Nov;18(6):388-91. doi: 10.1097/BPB.0b013e32832d83c9.
Patients who survive the initial acute phase of fulminant meningococcemia are at an increased risk for serious complications as a result of poor tissue perfusion. It is rare that early surgical intervention is required, as it is relatively difficult to determine the degree of tissue loss early on. Once the patient is stable, debridement of all necrotic tissue is essential and may necessitate extensive removal of skin, subcutaneous tissue, and muscle. Widespread use of the vacuum-assisted closure for complex soft tissue injuries has generally showed accelerated wound healing compared with traditional methods. We report a new possible application of the vacuum-assisted closure system in very young patients with loss of tissue as a result of purpura fulminans secondary to meningococcemia.
暴发性脑膜炎球菌血症初始急性期存活的患者，由于组织灌注不良，发生严重并发症的风险增加。早期手术干预很少需要，因为早期很难确定组织损失的程度。一旦患者病情稳定，清除所有坏死组织至关重要，可能需要广泛切除皮肤、皮下组织和肌肉。与传统方法相比，真空辅助闭合技术在复杂软组织损伤中的广泛应用通常显示出伤口愈合加速。我们报告了真空辅助闭合系统在因脑膜炎球菌血症继发的暴发性紫癜导致组织缺失的非常年幼患者中的一种新的可能应用。
