Huber P, Kissack A S, Simonton C T
Dis Colon Rectum. 1983 Aug;26(8):507-11. doi: 10.1007/BF02563741.
Rectal abscess may result in necrotizing soft-tissue infection including fasciitis, myositis, and extraperitoneal dissection of pus without muscle necrosis. The presentation and therapy of ten patients treated over the past six years are reviewed. Early recognition of rapidly spreading infection was imperative. The mortality rate of 40 per cent correlated with the degree of sepsis present at admission. The high mortality attendant with the complications of rectal abscess emphasizes the need for aggressive therapy, including frequent examinations under anesthesia, wide debridement, systemic triple antibiotic therapy, diverting colostomy, aggressive wound care, and hyperalimentation.
直肠脓肿可能导致坏死性软组织感染，包括筋膜炎、肌炎以及无肌肉坏死的腹膜外脓液扩散。本文回顾了过去六年中接受治疗的10例患者的临床表现及治疗情况。迅速识别快速蔓延的感染至关重要。40%的死亡率与入院时存在的脓毒症程度相关。直肠脓肿并发症导致的高死亡率强调了积极治疗的必要性，包括频繁的麻醉下检查、广泛清创、全身三联抗生素治疗、转流性结肠造口术、积极的伤口护理以及胃肠外营养。
