Le Coultre C, Halpérin D
Z Kinderchir. 1986 Jun;41(3):174-5. doi: 10.1055/s-2008-1043337.
The authors present the case of a 15-year-old girl who was treated for a fulminant meningococcaemia with all the risk factors. After recovery from the acute phase, the disseminated purpuric spots progressed to deep skin and subcutaneous necrosis, requiring excision and skin grafts. Treatment of such lesions is known to be difficult and prone to failure. It appears that the chances of successful skin grafts are enhanced by delaying surgery until the bed of the lesions shows revascularisation and soft tissue defects filing.
作者报告了一名15岁女孩的病例，她因伴有所有危险因素的暴发性脑膜炎球菌血症接受治疗。急性期恢复后，弥漫性紫癜斑点发展为深部皮肤和皮下坏死，需要进行切除和皮肤移植。已知治疗此类病变很困难且容易失败。似乎将手术推迟到病变部位出现血管再生和软组织缺损填充时再进行，可提高皮肤移植成功的几率。
