甲状腺肿复发手术后的暴发性纵隔炎：一例报告
Fulminant mediastinitis after goiter recurrence surgery: a case report.
作者信息
Rein Susanne, Mittag-Bonsch Martina
机构信息
University Hospital 'Carl Gustav Carus', Department of Trauma and Reconstructive Surgery, Fetscherstr, 74, 01307 Dresden, Germany.
出版信息
J Med Case Rep. 2010 Nov 17;4:364. doi: 10.1186/1752-1947-4-364.
INTRODUCTION
Necrotizing soft tissue infection is a life-threatening disease characterized by rapid progressive inflammation and necrosis of the subcutaneous and deep fascia with or without involvement of the adjacent muscles.
CASE PRESENTATION
We report the case of a 62-year-old Caucasian woman with goiter recurrence who underwent a right-sided hemithyroidectomy. Postoperatively, she developed fulminant mediastinitis caused by group A β-hemolytic streptococcus and septic shock. Our patient survived this rare life-threatening complication.
CONCLUSIONS
Initial atypical postoperative symptoms, such as personality changes or an unstable circulatory system, should lead a practitioner to consider the possibility of this severe complication and to begin therapy immediately.
引言
坏死性软组织感染是一种危及生命的疾病，其特征为皮下组织和深筋膜迅速进行性炎症和坏死，可伴有或不伴有相邻肌肉受累。
病例报告
我们报告一例62岁患有复发性甲状腺肿的白人女性，她接受了右侧甲状腺次全切除术。术后，她发生了由A组β溶血性链球菌引起的暴发性纵隔炎和感染性休克。我们的患者在这种罕见的危及生命的并发症中存活下来。
结论
术后最初出现的非典型症状，如性格改变或循环系统不稳定，应使医生考虑到这种严重并发症的可能性并立即开始治疗。
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