Reynierse M, Ulrich C
Department of Surgery, Westeinde Hospital, The Hague, The Netherlands.
Neth J Surg. 1991;43(1):17-9.
A 61-year-old diabetic woman was admitted with high fever, dehydration and acidosis caused by fasciitis necroticans of the forehead. The electrolytes and blood sugar level were corrected, broad spectrum antibiotics started and extensive débridement performed, followed by a second-look operation the next day. After the bacterial culture was known, the antibiotics were adapted. A split-skin graft gave an acceptable result.
一名61岁的糖尿病女性因前额坏死性筋膜炎导致高热、脱水和酸中毒入院。纠正了电解质和血糖水平，开始使用广谱抗生素并进行了广泛的清创术，第二天进行了二次探查手术。在得知细菌培养结果后，调整了抗生素。植皮取得了可接受的效果。
