Goldwag D A, Purcell T B
Department of Emergency Medicine, Kern Medical Center, Bakersfield, California 93305-4197.
J Emerg Med. 1990 May-Jun;8(3):299-304. doi: 10.1016/0736-4679(90)90010-s.
Necrotizing fasciitis is a rapidly progressive invasive soft tissue infection that is rarely seen in the pediatric population. In the majority of cases described in the medical literature, there has been an identifiable initiating event such as instrumentation or other trauma to the skin. Because of the rapid progression of the infection, the key to a successful outcome is early recognition and rapid initiation of definitive surgical management. A case is presented in which necrotizing fasciitis was seen in a child with no precipitating skin trauma.
坏死性筋膜炎是一种迅速进展的侵袭性软组织感染,在儿科人群中很少见。在医学文献中描述的大多数病例中,都有一个可识别的起始事件,如器械操作或皮肤的其他创伤。由于感染进展迅速,成功治疗的关键是早期识别并迅速开始确定性的手术治疗。本文介绍了一例在没有皮肤创伤诱因的儿童中发生坏死性筋膜炎的病例。