Barfeld S, Kuhfuss I
St.-Josefs-Hospital Hagen, Klinik für Plastische und Asthetische Chirurgie und Handchirurgie, Dreieckstrasse 17, Hagen.
Handchir Mikrochir Plast Chir. 2009 Oct;41(5):288-91. doi: 10.1055/s-0029-1238308. Epub 2009 Sep 29.
The necrotising fasciitis (NF) is a rare syndrome in hand surgery which is characterized by a severe course of the illness. Different kinds of bacterial species are responsible for the pathogenetic origin of the NF. As NF can be life-threatening for the patient, immediate surgical and systemic treatment must begin as soon as there is the slightest clinical suspicion. We report about two patients with NF of the hand, whereby the patients' lives were saved by radical, serial debridements, intensive medical therapy and selective antibiotic treatment.
坏死性筋膜炎（NF）是手部外科中一种罕见的综合征，其特点是病情严重。不同种类的细菌是NF发病机制的根源。由于NF可能对患者生命构成威胁，一旦有最轻微的临床怀疑，就必须立即开始手术和全身治疗。我们报告了两例手部NF患者，通过彻底的系列清创术、强化药物治疗和选择性抗生素治疗挽救了患者的生命。
