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颈后部坏死性筋膜炎：外科的多学科治疗

Posterior cervical necrotising fasciitis: a multidisciplinary endeavour in surgery.

作者信息

Lee Jia Hui, Foo Fung Joon, Wong Allen Wei-Jiat

机构信息

Department of General Surgery, Sengkang General Hospital, 544886 Singapore.

Department of Plastic, Reconstructive & Aesthetic Surgery, Sengkang General Hospital, 544886 Singapore.

出版信息

J Surg Case Rep. 2023 Mar 23;2023(3):rjad127. doi: 10.1093/jscr/rjad127. eCollection 2023 Mar.

DOI:10.1093/jscr/rjad127
PMID:36969714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10036165/
Abstract

A 62-year-old male was diagnosed to the Emergency Department with 5-cm posterior neck carbuncle, and was subsequently discovered to have severe necrotising fasciitis intraoperatively during saucerization of the carbuncle. Subsequently, the patient was admitted to the intensive care unit and underwent combined debridement by the General Surgery, Neurosurgery and Plastic Surgery team. The large defect necessitated a trapezius flap reconstruction for coverage. Three months post-surgery, the patient had recovered well with the full range of movement of his neck.

摘要

一名62岁男性因后颈部有一个5厘米的痈被诊断后送往急诊科，随后在痈的碟形切除术中被发现患有严重的坏死性筋膜炎。随后，患者被收入重症监护病房，并由普通外科、神经外科和整形外科团队联合进行清创。由于缺损较大，需要进行斜方肌皮瓣重建以覆盖创面。术后三个月，患者颈部活动范围恢复正常，恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/9c76f3459c30/rjad127f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/430ac414daec/rjad127f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/bba9190baf8e/rjad127f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/267317cbe552/rjad127f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/9c76f3459c30/rjad127f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/430ac414daec/rjad127f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/bba9190baf8e/rjad127f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/267317cbe552/rjad127f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdc7/10036165/9c76f3459c30/rjad127f5.jpg

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本文引用的文献

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Aggressive Necrotizing Fasciitis of the Head and Neck Resulting in Massive Defects.侵袭性头颈部坏死性筋膜炎导致大面积缺损。
Ear Nose Throat J. 2019 Apr-May;98(4):197-200. doi: 10.1177/0145561319839789. Epub 2019 Apr 15.
2
Cervical Necrotizing Fasciitis: A Potentially Fatal Disease with Varied Etiology.颈部坏死性筋膜炎：一种病因多样的潜在致命疾病。
Ann Med Health Sci Res. 2016 Jul-Aug;6(4):251-256. doi: 10.4103/amhsr.amhsr_33_16.
3
Reconstruction of open wounds as a complication of spinal surgery with flaps: a systematic review.
采用皮瓣修复脊柱手术并发症开放性伤口的系统评价
Neurosurg Focus. 2015 Oct;39(4):E17. doi: 10.3171/2015.7.FOCUS15245.
4
Lower Trapezius Flap for Reconstruction of Posterior Scalp and Neck Defects after Complex Occipital-Cervical Surgeries.下斜方肌肌皮瓣用于复杂枕颈手术后头皮及颈部后部缺损的修复
J Neurol Surg B Skull Base. 2015 Sep;76(5):397-408. doi: 10.1055/s-0034-1544123. Epub 2015 May 22.
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Retrospective evaluation of laboratory-based diagnostic tools for cervical necrotizing fasciitis.回顾性评估基于实验室的宫颈坏死性筋膜炎诊断工具。
Laryngoscope. 2012 Dec;122(12):2683-7. doi: 10.1002/lary.23680. Epub 2012 Sep 19.
6
Using clinical pathways to aid in the diagnosis of necrotizing soft tissue infections synthesis of evidence.运用临床路径辅助诊断坏死性软组织感染的证据综合。
Worldviews Evid Based Nurs. 2012 Apr;9(2):88-99. doi: 10.1111/j.1741-6787.2011.00235.x. Epub 2011 Dec 12.
7
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