Koris Jacob, Arshad Ali, Dennison Ashley
Department of General Surgery, Leicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
BMJ Case Rep. 2014 Sep 8;2014:bcr2014206078. doi: 10.1136/bcr-2014-206078.
A patient diagnosed with extensive abdominal wall necrotising fasciitis from a perianal abscess was managed with a novel aeration technique using adapted 36-French tubes. A total of 14 drains were placed in the plane of the transversalis fascia after surgical debridement. The drains were left open to allow drainage of liquefactive contents and aeration of the abdominal wall tissues. An extended course of intravenous antibiotics were administered and the patient was ventilated in the intensive therapy unit. The patient was reoperated after 2 weeks, at which time the drains were removed. The patient made a full recovery, and was discharged with follow-up.
一名因肛周脓肿被诊断为广泛腹壁坏死性筋膜炎的患者采用了一种使用改良36号法式管的新型通气技术进行治疗。手术清创后，在腹横筋膜平面共放置了14根引流管。引流管保持开放，以排出液化内容物并使腹壁组织通气。给予延长疗程的静脉抗生素治疗，并在重症监护病房对患者进行通气。2周后患者再次接受手术，此时取出引流管。患者完全康复，并在随访后出院。
