Shy K K, Eschenbach D A
Obstet Gynecol. 1979 Sep;54(3):292-8.
Perineal cellulitis originating from an episiotomy incision resulted in 20% of the maternal mortality in King County, Washington, between 1969 and 1977. Necrotizing fasciitis was present in 2 of the cases, and clostridial myonecrosis was present in 1. These fatalities occurred because the practitioners were not aware that necrotizing fasciitis can occur in the fatty superficial fascia of the perineum and that resection of the necrotic tissue is necessary for successful therapy.
1969年至1977年期间，华盛顿州金县因会阴切开术切口引发的会阴蜂窝织炎导致了20%的孕产妇死亡。其中2例出现坏死性筋膜炎，1例出现梭菌性肌坏死。这些死亡事件的发生是因为从业者没有意识到坏死性筋膜炎可能发生在会阴的脂肪浅筋膜中，且成功治疗需要切除坏死组织。
