Wang Fei, Chen Xu-Lin, Liang Xun
Department of Burns, First Affiliated Hospital of Anhui, Medical University, Hefei, PR China.
Acta Dermatovenerol Croat. 2012;20(1):38-42.
We report on a 20-year-old female high-school student with fulminant meningococcal sepsis presenting as severe skin necrosis in lower extremities. The wound surface affected 2% of her total body surface area and was covered with black eschar. The adipose tissue beneath the eschar was degenerated and turned to necrosis as to deep fascia and periosteum of lower tibia. Excision of necrotic eschar, then covered with flaps on both legs resulted in a successful outcome.
我们报告了一名20岁的女性高中生,她患有暴发性脑膜炎球菌败血症,表现为下肢严重皮肤坏死。创面占她全身表面积的2%,覆盖着黑色焦痂。焦痂下的脂肪组织发生变性,并发展为坏死,累及胫骨下部的深筋膜和骨膜。切除坏死焦痂,然后双腿行皮瓣覆盖,结果手术成功。