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[坏死性皮肤和软组织感染的临床症状与治疗]

[Clinical symptoms and therapy of necrotizing skin and soft tissue infections].

作者信息

Kujath P, Hoffmann M, Schlöricke E, Unger L, Bouchard R

机构信息

Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland.

出版信息

Chirurg. 2012 Nov;83(11):953-9. doi: 10.1007/s00104-012-2282-1.

Abstract

Skin and soft tissue infections are among the most common diseases requiring surgical treatment. The presentation of patients varies from folliculitis to severe necrotizing infections with a fatal outcome. The diagnosis of a necrotizing infection is often difficult. The correct diagnosis is often made after deterioration of the patient's condition in the rapid course of the disease. The early and correct diagnosis and immediate surgery are decisive for the prognosis. Treatment at a specialized intensive care unit and the administration of a broad spectrum antibiotic are pivotal for the survival of individual patients.

摘要

皮肤和软组织感染是最常见的需要手术治疗的疾病之一。患者的表现从毛囊炎到严重的坏死性感染不等,后者可导致致命后果。坏死性感染的诊断往往很困难。在疾病快速发展过程中,通常在患者病情恶化后才能做出正确诊断。早期正确诊断并立即进行手术对预后起着决定性作用。在专门的重症监护病房进行治疗以及使用广谱抗生素对个体患者的存活至关重要。

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