Al-Subhi Fs, Zuker Rm, Cole Wg
Divisions of Plastic Surgery and Orthopedic Surgery, The Hospital for Sick Children; Department of Surgery, University of Toronto, Toronto, Ontario.
Can J Plast Surg. 2010 Winter;18(4):139-42. doi: 10.1177/229255031001800412.
Necrotizing fasciitis is a severe soft tissue infection that can involve skin, subcutaneous fat, fascia and muscle. It can result in devastating sequelae including tissue necrosis, sepsis, toxic shock syndrome, cardiopulmonary collapse and death. To control rapidly spreading necrosis, early diagnosis and aggressive surgical treatment with extensive radical debridement of the affected areas is necessary, as well as systemic administration of broad-spectrum antimicrobials and, very often, intensive care support.The subatmospheric negative pressure dressing has been previously used in acute and complex wounds management. The concept of using vacuum-assisted closure dressing as another management component is presented in the current article.
坏死性筋膜炎是一种严重的软组织感染,可累及皮肤、皮下脂肪、筋膜和肌肉。它可导致毁灭性的后遗症,包括组织坏死、败血症、中毒性休克综合征、心肺功能衰竭和死亡。为控制迅速蔓延的坏死,早期诊断并对受影响区域进行广泛彻底清创的积极手术治疗是必要的,同时还需要全身使用广谱抗菌药物,而且通常还需要重症监护支持。负压敷料此前已用于急性和复杂伤口的处理。本文介绍了使用真空辅助闭合敷料作为另一种处理方式的概念。