Zbären P, Rothen H U, Läng H, Becker M
Klinik für HNO, Hals-Kiefer- und Gesichtschirurgie, Universität Bern, Inselspital.
HNO. 1995 Oct;43(10):619-23.
Three cases of cervical necrotizing fasciitis are presented. One case was odontogenic in origin and two were due to pharyngeal infectious. Bacteria cultured represented multiple bacterial species. Airway control was necessary early, as was wide surgical exploration of the fascial spaces of the neck with re-exploration as necessary. Intensive medical support was crucial to prevent or treat complications. Cervical necrotizing fasciitis has an overall mortality rate of 30 per cent at the University of Bern.
本文报告了3例颈部坏死性筋膜炎病例。1例起源于牙源性,2例由咽部感染引起。培养出的细菌包括多种菌种。早期进行气道控制很有必要,同时需要对颈部筋膜间隙进行广泛的手术探查,并根据需要再次探查。强化医疗支持对于预防或治疗并发症至关重要。在伯尔尼大学,颈部坏死性筋膜炎的总体死亡率为30%。