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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.

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/cdc7/10036165/430ac414daec/rjad127f1.jpg

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