Sadasivan Jagdish, Maroju Nanda Kishore, Balasubramaniam Anandh
Department of Surgery, JIPMER, Pondicherry, India.
Indian J Plast Surg. 2013 Sep;46(3):472-8. doi: 10.4103/0970-0358.121978.
Necrotizing fasciitis (NF) is among the most challenging surgical infections faced by a surgeon. The difficulty in managing this entity is due to a combination of difficulty in diagnosis, and also of early as well as late management. For the patient, such a diagnosis means prolonged hospital stay, painful dressings, an extended recovery, and in some unfortunate cases even loss of limb or life. Necrotizing fasciitis is a fairly common condition in surgical practice in the Indian context resulting in a fairly large body of clinical experience. This article reviews literature on MEDLINE with the key words "necrotizing," "fasciitis," and "necrotizing infections" from 1970, as well as from articles cross referenced therein. The authors attempt to draw comparisons to their own experience in managing this condition to give an Indian perspective to the condition.
坏死性筋膜炎（NF）是外科医生面临的最具挑战性的外科感染之一。管理这种疾病的困难在于诊断困难，以及早期和晚期管理的困难。对患者来说，这样的诊断意味着延长住院时间、痛苦的换药、漫长的康复过程，在一些不幸的情况下甚至会导致肢体丧失或死亡。在印度的外科实践中，坏死性筋膜炎是一种相当常见的疾病，积累了相当丰富的临床经验。本文回顾了1970年以来MEDLINE上以“坏死性”“筋膜炎”和“坏死性感染”为关键词的文献，以及其中交叉引用的文章。作者试图将这些文献与他们自己治疗这种疾病的经验进行比较，从印度的角度对这种疾病进行阐述。
