会阴切开部位引发的致命性会阴部蜂窝织炎。
Fatal perineal cellulitis from an episiotomy site.
作者信息
Shy K K, Eschenbach D A
出版信息
Obstet Gynecol. 1979 Sep;54(3):292-8.
PMID:471368
Abstract
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.
摘要
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。
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Fatal perineal cellulitis from an episiotomy site.会阴切开部位引发的致命性会阴部蜂窝织炎。
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引用本文的文献
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Episiotomy in low risk patients.会阴侧切术用于低危患者。
Can Fam Physician. 1984 Oct;30:2137-40.
2
Necrotizing fasciitis: a review of management guidelines in a large obstetrics and gynecology teaching hospital.坏死性筋膜炎：大型妇产科教学医院管理指南综述
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