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一名12岁患者的眶周坏死性软组织感染

Periorbital necrotising soft tissue infection in a 12-year-old patient.

作者信息

Olsson Lewis, Vuity Drazsen, McAllister Peter, Ansell Mark

机构信息

1 Dental Core Trainee, Regional Maxillofacial Unit, Queen Elizabeth University Hospital, UK.

2 Clinical Fellow, Oral and Maxillofacial Surgery, Queen Elizabeth University Hospital, UK.

出版信息

Scott Med J. 2018 Aug;63(3):87-90. doi: 10.1177/0036933018776830. Epub 2018 May 27.

Abstract

Head and neck necrotising soft-tissue infection is exceptionally uncommon in the paediatric population. necrotising soft-tissue infection is severe and often life-threatening. Rapid spread of infection and systemic illness make necrotising soft-tissue infection a challenge for the medical and surgical teams. Early identification and surgical intervention are essential for a favourable patient outcome. This report details the case of periorbital necrotising soft-tissue infection in a 12-year-old male patient following an uncomplicated facial laceration. Prompt surgical debridement with planned return visits to theatre and guided empirical antibiotic therapy ensured that a satisfactory patient outcome was achieved. The failure of current necrotising soft-tissue infection diagnostic scoring tools to be positive in this case may suggest that these tools require refinement and validation.

摘要

头颈部坏死性软组织感染在儿科人群中极为罕见。坏死性软组织感染病情严重,常危及生命。感染的快速扩散和全身疾病使坏死性软组织感染成为医疗和外科团队面临的一项挑战。早期识别和手术干预对于患者获得良好预后至关重要。本报告详细介绍了一名12岁男性患者在面部单纯裂伤后发生眶周坏死性软组织感染的病例。及时进行手术清创、按计划返回手术室以及有针对性的经验性抗生素治疗确保了患者获得满意的预后。在该病例中,目前的坏死性软组织感染诊断评分工具未呈阳性,这可能表明这些工具需要改进和验证。

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