Krol J R, Kwee K W, Thijs L G
Intensive Care Med. 1982;8(5):235-7. doi: 10.1007/BF01694527.
A case is presented of a 59-year-old male with rapidly progressive septic shock and necrotizing fasciitis. The patient was admitted in shock with an extensive skin lesion on the anterior chest wall. The history was relatively short and there was only a questionable history of preceding trauma. Necrotizing fasciitis was suspected from the appearance of the lesion. Antibiotics and anti-shock therapy were given but despite this, his condition deteriorated and he died from septic shock. At autopsy, the diagnosis of necrotizing fasciitis was confirmed. The importance of rapid diagnosis and primary surgical therapy is emphasized.
本文报告一例59岁男性患者，患有快速进展性感染性休克和坏死性筋膜炎。患者因休克入院，前胸壁有广泛皮肤病变。病史相对较短，仅有可疑的既往创伤史。根据病变外观怀疑为坏死性筋膜炎。给予抗生素和抗休克治疗，但尽管如此，他的病情仍恶化，最终死于感染性休克。尸检证实了坏死性筋膜炎的诊断。强调了快速诊断和早期手术治疗的重要性。
