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社区获得性坏死性筋膜炎所致感染性休克:一例报告及文献综述

Septic shock due to community-acquired necrotizing fasciitis: A case report and literature review.

作者信息

Zhao Guang-Ju, Hong Guang-Liang, Liu Jie-Quan, Lu Yang, Lu Zhong-Qiu

机构信息

Emergency Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, P.R. China.

出版信息

Exp Ther Med. 2014 Jun;7(6):1545-1548. doi: 10.3892/etm.2014.1628. Epub 2014 Mar 21.

DOI:10.3892/etm.2014.1628
PMID:24926341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4043593/
Abstract

Necrotizing fasciitis is a rare but fatal infection, characterized by the rapid progression of necrosis of the fascia, skin, soft tissue and muscle. The most common bacteria associated with necrotizing fasciitis is group A , although other pathogens have also been implicated. In the present study, a case of community-acquired necrotizing fasciitis, complicated with septic shock and multiple organ dysfunction syndromes due to , is presented. Despite intensive medical treatment, the condition of the patient deteriorated rapidly and the patient subsequently succumbed to multiple organ failure. In view of the rapid progression and high mortality rate of this disease, early surgery, as well as novel therapeutic approaches for septic shock are required to improve the outcome for patients.

摘要

坏死性筋膜炎是一种罕见但致命的感染,其特征是筋膜、皮肤、软组织和肌肉迅速发生坏死。与坏死性筋膜炎相关的最常见细菌是A组,不过其他病原体也有涉及。在本研究中,报告了一例社区获得性坏死性筋膜炎病例,该病例因……并发感染性休克和多器官功能障碍综合征。尽管进行了强化治疗,患者病情仍迅速恶化,随后死于多器官衰竭。鉴于该疾病进展迅速且死亡率高,需要早期手术以及针对感染性休克的新型治疗方法来改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd4c/4043593/badc41c40cec/ETM-07-06-1545-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd4c/4043593/a8375de4655d/ETM-07-06-1545-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd4c/4043593/badc41c40cec/ETM-07-06-1545-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd4c/4043593/a8375de4655d/ETM-07-06-1545-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd4c/4043593/badc41c40cec/ETM-07-06-1545-g01.jpg

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Crit Care Med. 2013 Feb;41(2):580-637. doi: 10.1097/CCM.0b013e31827e83af.
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Volatile oils of Chinese crude medicines exhibit antiparasitic activity against human with no adverse effects .中药材挥发油对人体具有抗寄生虫活性且无不良影响。
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19 例创伤弧菌坏死性筋膜炎的外科治疗。
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Necrotizing soft tissue infections: delayed surgical treatment is associated with increased number of surgical debridements and morbidity.坏死性软组织感染:延迟手术治疗与手术清创次数增加及发病率升高相关。
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