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[坏死性筋膜炎:全面综述]

[Necrotizing Fasciitis: A comprehensive review].

作者信息

Carbonetti F, Carusi V, Guidi M, David V

机构信息

Dipartimento di Radiologia. Facoltà di Medicina e Psicologia. Ospedale Sant'Andrea , Università degli Studi di Roma "Sapienza", Roma, Italia.

Dipartimenti di Medicina Interna. Facoltà di Medicina e Psicologia. Ospedale Sant'Andrea , Università degli Studi di Roma "Sapienza", Roma, Italia.

出版信息

Clin Ter. 2015;166(2):e132-9. doi: 10.7417/CT.2015.1836.

Abstract

Even though necrotizing fasciitis is considered a rare disease, the spreading of the predisposing factors such as diabetes and chronic diseases, contribute to increase the incidence of this infection. Thus, how to diagnose and treat this clinical pathology, which represents an emerging need. This infection could be fatal for patients if not early diagnosed and treated and it represents a challenge both for the clinicians both for the surgeons. From this consideration was born the idea to write this review article in order to furnish to the readers a helpful tool in the management of this disease starting from its clinical and epidemiological features leading to the diagnosis, both clinical and radiological, and concluding with the treatment both medical both surgical .This article reviews literature on PubMed/MEDLINE with key words "necrotizing", "fasciitis" and "necrotizing fasciitis" from 1967 to 2014, considering all the aspects of the disease. The authors attempt to draw comparisons to their own experience managing this condition to give an Italian perspective to the condition.

摘要

尽管坏死性筋膜炎被认为是一种罕见疾病,但糖尿病和慢性病等易感因素的传播,导致这种感染的发病率上升。因此,如何诊断和治疗这种临床病理情况,已成为一种新的需求。如果不及早诊断和治疗,这种感染可能对患者致命,它对临床医生和外科医生来说都是一个挑战。出于这种考虑,便萌生了撰写这篇综述文章的想法,以便从其临床和流行病学特征入手,为读者提供一种在该疾病管理方面有用的工具,进而实现临床和放射学诊断,并以药物和手术治疗作为结尾。本文回顾了1967年至2014年PubMed/MEDLINE上关于“坏死性”“筋膜炎”和“坏死性筋膜炎”的文献,涵盖了该疾病的各个方面。作者试图将其自身治疗这种病症的经验进行比较,从意大利的角度来阐述这种病症。

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