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抽脂术后致死性坏死性筋膜炎

Fatal necrotizing fasciitis following suction-assisted lipectomy.

作者信息

Alexander J, Takeda D, Sanders G, Goldberg H

机构信息

Western Center for Hyperbaric Medicine, Northridge Hospital Medical Center, Los Angeles, CA 91328.

出版信息

Ann Plast Surg. 1988 Jun;20(6):562-5. doi: 10.1097/00000637-198806000-00012.

DOI:10.1097/00000637-198806000-00012
PMID:3389707
Abstract

Forty-eight hours following extensive blunt suction lipectomy with 3,000 cc of tissue removed, a 36-year-old woman presented to an emergency room with necrotizing fasciitis of both lower extremities extending over the buttock and to the lower third of the back. Tissue cultures and blood culture grew out a pure culture of beta-hemolytic streptococci. The patient rapidly progressed into a comatose state and, despite extensive debridement and appropriate antibiotic therapy, in addition to hyperbaric oxygen treatments, she died on day 9 of her hospitalization (day 11 following the suction lipectomy). To our knowledge this is the first published mortality reported in the United States following this procedure.

摘要

在进行了广泛的钝性吸脂术并切除了3000立方厘米组织后的48小时,一名36岁女性因双下肢坏死性筋膜炎延伸至臀部及背部下三分之一区域而被送往急诊室。组织培养和血培养均培养出β溶血性链球菌纯培养物。患者迅速进入昏迷状态,尽管进行了广泛的清创术、适当的抗生素治疗以及高压氧治疗,但她仍在住院第9天(吸脂术后第11天)死亡。据我们所知,这是美国该手术后首次公布的死亡病例报告。

相似文献

1
Fatal necrotizing fasciitis following suction-assisted lipectomy.抽脂术后致死性坏死性筋膜炎
Ann Plast Surg. 1988 Jun;20(6):562-5. doi: 10.1097/00000637-198806000-00012.
2
Re: Alexander et al: Fatal necrotizing fasciitis following suction-assisted lipectomy.
Ann Plast Surg. 1989 Feb;22(2):176-8.
3
Group A streptococcal fasciitis after submental tumescent liposuction.颏下肿胀吸脂术后的A组链球菌性筋膜炎
Arch Facial Plast Surg. 2001 Oct-Dec;3(4):277-9. doi: 10.1001/archfaci.3.4.277.
4
Fasciitis and abscesses complicating liposuction.抽脂术后并发的筋膜炎和脓肿
West J Med. 1988 Jun;148(6):703-6.
5
Toxic shock syndrome after suction lipectomy.抽脂术后中毒性休克综合征
Plast Reconstr Surg. 2000 Jul;106(1):204-7; discussion 208-9. doi: 10.1097/00006534-200007000-00039.
6
[Necrotizing fasciitis: a medical and surgical emergency. Apropos of a case].
J Chir (Paris). 1992 Mar;129(3):169-71.
7
Necrotizing fasciitis associated with porphyria cutanea tarda.
J Am Acad Dermatol. 1986 Feb;14(2 Pt 2):361-7. doi: 10.1016/s0190-9622(86)70044-3.
8
Necrotizing fasciitis in the puerperium.
Am J Obstet Gynecol. 1995 Jul;173(1):241-2. doi: 10.1016/0002-9378(95)90205-8.
9
Necrotizing fasciitis.坏死性筋膜炎
Am J Surg. 1981 Sep;142(3):377-83. doi: 10.1016/0002-9610(81)90353-6.
10
Necrotizing Fasciitis Involving Spine: Unusual Medical Emergency for Spine Surgeon.累及脊柱的坏死性筋膜炎:脊柱外科医生面临的罕见医疗急症。
World Neurosurg. 2019 Jan;121:124-126. doi: 10.1016/j.wneu.2018.10.031. Epub 2018 Oct 12.

引用本文的文献

1
Necrotizing Fasciitis Due to Complex Following Body Contouring Surgery: First Case Report.身体塑形手术后因并发症导致的坏死性筋膜炎:首例病例报告。
Plast Reconstr Surg Glob Open. 2025 Apr 17;13(4):e6715. doi: 10.1097/GOX.0000000000006715. eCollection 2025 Apr.
2
Pseudomonas aeruginosa septicemia causes death following liposuction with allogenic fat transfer and gluteal augmentation.铜绿假单胞菌败血症导致在进行异体脂肪移植抽脂术和丰臀术后死亡。
Int J Legal Med. 2015 Jul;129(4):815-8. doi: 10.1007/s00414-014-1056-3. Epub 2014 Aug 9.
3
Obesity can be treated by suction lipoplasty when combined with other procedures.
Aesthetic Plast Surg. 1991 Winter;15(1):67-71. doi: 10.1007/BF02273836.