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采用自制负压系统伤口疗法成功治疗坏死性筋膜炎。

Successful treatment of necrotizing fasciitis using handmade negative pressure system wound therapy.

机构信息

General Surgery Service, Hospital Civil de Tepic "Dr. Antonio González Guevara", Tepic, Nayarit. México.

Servicio Advanced Laparoscopic Surgery Service, Centro Médico ABC, Mexico City. México.

出版信息

Cir Cir. 2020;88(Suppl 1):24-27. doi: 10.24875/CIRU.20001293.

Abstract

Necrotizing fasciitis is an acute progressive infection that develops severe systemic toxicity. If this is not treated in a timely manner, it leads to a fatal outcome. The treatment with fluids, antibiotics, and debridement is the basis for management; however, negative pressure systems are positioned at a strategic point for treatment, especially in large areas, such as lower limbs. This is the case of a 17-year-old male with no relevant medical history, who developed extensive necrotizing fasciitis in the inguinogenital region after fasciotomies due to compartment syndrome, in whom a handmade negative pressure system was successfully applied.

摘要

坏死性筋膜炎是一种急性进行性感染,会导致严重的全身中毒。如果不及时治疗,会导致致命的后果。液体、抗生素和清创术的治疗是管理的基础;然而,负压系统被定位在治疗的战略点,特别是在大面积,如下肢。这是一个 17 岁的男性,没有相关的病史,在因间隔综合征而行筋膜切开术后,会阴部发生广泛的坏死性筋膜炎,成功应用了手工制作的负压系统。

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