Subramanian A, Thomas G, Lawn A, Jackson P, Layer Gt
The Royal Surrey County Hospital, Guildford, UK.
J Surg Case Rep. 2010 Mar 1;2010(1):4. doi: 10.1093/jscr/2010.1.4.
Necrotising fasciitis is a rare but rapidly progressive soft tissue disease which can lead to extensive necrosis, systemic sepsis and death. Including this case, only 7 other cases have been reported in the world literature with only 2 others affecting the patient post mastectomy. This 59 year old Caucasian lady presented with severe soft tissue infection soon after mastectomy, which was successfully treated with a combination of debridement, triangulation, VAC© dressing and skin grafting. Necrotising soft tissue infections following mastectomy are rapidly progressive and potentially extremely serious. It is essential that a high index of clinical suspicion is maintained together with prompt aggressive treatment in a multidisciplinary environment to prevent worsening physical and psychological sequelae.
坏死性筋膜炎是一种罕见但进展迅速的软组织疾病，可导致广泛坏死、全身脓毒症和死亡。包括本病例在内，世界文献中仅报道了另外7例，其中仅有2例发生在乳房切除术后的患者身上。这位59岁的白种女性在乳房切除术后不久出现严重的软组织感染，通过清创、三角瓣成形术、负压封闭引流（VAC©）敷料和皮肤移植相结合的方法成功治愈。乳房切除术后的坏死性软组织感染进展迅速，潜在危害极大。至关重要的是，要保持高度的临床怀疑，并在多学科环境中及时进行积极治疗，以防止身体和心理后遗症恶化。
