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一名80岁男性成功接受分层皮片移植治疗终末期坏死性筋膜炎后的存活:病例报告

Survival of an 80-Year-Old Male With a Successful Split-Thickness Skin Graft for End-Stage Necrotizing Fasciitis: A Case Report.

作者信息

Iqbal Mashood, Arshad Ahsan, Syed Jahanghir, Saleem Amna, Khan Abdus Salam, Khan Shayan Iqbal, Khawaja Uzzam Ahmed

机构信息

Internal Medicine, Jinnah Medical College Hospital, Karachi, PAK.

Internal Medicine, Shaikh Khalifa Bin Zayed Al-Nahyan Medical and Dental College, Lahore, PAK.

出版信息

Cureus. 2022 Jun 10;14(6):e25829. doi: 10.7759/cureus.25829. eCollection 2022 Jun.

DOI:10.7759/cureus.25829
PMID:35836465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9273206/
Abstract

Herein, we report a case of an 80-year-old male who was diagnosed with a fatal condition known as necrotizing fasciitis. This devastating soft tissue infection can cause profound damage to multiple tissue planes. Despite its etiology being multifactorial, impaired immunity with increasing age weighs in as the most significant. We intend to shed light on its detrimental clinical features and how we managed to treat the patient both conservatively and surgically. Through our case findings and management plan, we hope this case to be of clinical value and knowledge to clinicians to better diagnose and treat the deleterious condition.

摘要

在此,我们报告一例80岁男性患者,其被诊断患有一种名为坏死性筋膜炎的致命疾病。这种毁灭性的软组织感染可对多个组织层面造成严重损害。尽管其病因是多因素的,但随着年龄增长免疫力受损是最重要的因素。我们旨在阐明其有害的临床特征以及我们如何通过保守和手术方法治疗该患者。通过我们的病例发现和管理计划,我们希望这个病例能对临床医生具有临床价值和知识,以便更好地诊断和治疗这种有害疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/8f023c790085/cureus-0014-00000025829-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/fd3b52bec50d/cureus-0014-00000025829-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/55052508e0e4/cureus-0014-00000025829-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/8f023c790085/cureus-0014-00000025829-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/fd3b52bec50d/cureus-0014-00000025829-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/55052508e0e4/cureus-0014-00000025829-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/301a/9273206/8f023c790085/cureus-0014-00000025829-i03.jpg

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本文引用的文献

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[Necrotizing Fasciitis].[坏死性筋膜炎]
Handchir Mikrochir Plast Chir. 2021 Jun;53(3):312-319. doi: 10.1055/a-1381-8077. Epub 2021 Jun 16.
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Noma and Necrotizing Fasciitis of the Face and Neck.面部和颈部的坏疽性口炎和坏死性筋膜炎。
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Bilayer wound matrix dermal substitute allows survival of split-thickness skin graft in necrotizing fasciitis defects: A retrospective, uncontrolled case study.双层创面基质真皮替代物可使坏死性筋膜炎缺损中的断层皮片存活:一项回顾性、非对照病例研究。
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[Necrotizing fasciitis-a surgical emergency].[坏死性筋膜炎——一种外科急症]
Unfallchirurg. 2020 Oct;123(10):807-815. doi: 10.1007/s00113-020-00869-5.
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[Necrotizing fasciitis of the hand and forearm : Acute surgical treatment and defect reconstruction with MatriDerm® and split-thickness skin graft].[手部及前臂坏死性筋膜炎:采用MatriDerm®和中厚皮片移植的急性手术治疗及缺损重建]
Unfallchirurg. 2018 Mar;121(3):256-260. doi: 10.1007/s00113-017-0451-x.
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Necrotizing fasciitis: treatment concepts and clinical results.坏死性筋膜炎:治疗理念与临床结果
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Laboratory Risk Indicator for Necrotizing Fasciitis score for early diagnosis of necrotizing fasciitis in Darwin.用于达尔文地区坏死性筋膜炎早期诊断的坏死性筋膜炎实验室风险指标评分
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Early diagnosis of necrotizing fasciitis.早期诊断坏死性筋膜炎。
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The role of immunity and inflammation in lung senescence and susceptibility to infection in the elderly.免疫和炎症在肺衰老和老年人易感染中的作用。
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Necrotizing fasciitis.坏死性筋膜炎。
Can Fam Physician. 2009 Oct;55(10):981-7.