Pandey A, Gangopadhyay A N, Sharma S P, Kumar V, Gopal S C, Gupta D K
Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221 005, U.P. India.
J Indian Assoc Pediatr Surg. 2009 Jan;14(1):19-23. doi: 10.4103/0971-9261.54816.
Necrotizing fasciitis (NF) is a serious infection of soft tissues. This paper presents experience with pediatric NF and suitability of conservative surgery in its management.
In this retrospective study, 70 patients of NF were managed during the study period of eight years. The study was divided into two time periods- first period (June 1998 to June 2001- group 1) and second period (June 2001 to June 2006- group 2). The parameters studied were age, sex, site of involvement and treatment. The treatment included intravenous antibiotics, supportive therapy and either aggressive (group 1) or conservative surgery (group 2).
Age of presentation ranged from 10 days to 11 years. Male to female ratio was 1.69:1. Back was the commonest site to be involved. Culture reports were polymicrobial in 70% with predominance of Staphylococcus species. Predisposing factors included malnourishment, boils, scratch injury, intravenous cannulation and injections. Conservative surgery had better outcome in terms of hospital stay, complications and cost of treatment.
NF is a serious and disease which requires immediate and all out attention. Early diagnosis, aggressive supportive treatment and conservative surgery improve survival.
坏死性筋膜炎（NF）是一种严重的软组织感染。本文介绍了小儿坏死性筋膜炎的治疗经验以及保守手术在其治疗中的适用性。
在这项回顾性研究中，在八年的研究期间对70例坏死性筋膜炎患者进行了治疗。该研究分为两个时间段——第一个时间段（1998年6月至2001年6月——第1组）和第二个时间段（2001年6月至2006年6月——第2组）。研究的参数包括年龄、性别、受累部位和治疗方法。治疗包括静脉注射抗生素、支持治疗以及激进手术（第1组）或保守手术（第2组）。
发病年龄范围为10天至11岁。男女比例为1.69:1。背部是最常受累的部位。70%的培养报告显示为多种微生物感染，以葡萄球菌属为主。诱发因素包括营养不良、疖、抓伤、静脉插管和注射。在住院时间、并发症和治疗费用方面，保守手术的效果更好。
坏死性筋膜炎是一种严重的疾病，需要立即全力关注。早期诊断、积极的支持治疗和保守手术可提高生存率。
