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颈部产气性厌氧菌感染

[Gas producing anaerobic infection of the neck].

作者信息

Mohadjer C, Argat M, Maier H, Weidauer H

机构信息

Hals-, Nasen- und Ohrenklinik, Ruprecht-Karls-Universität, Heidelberg.

出版信息

Laryngorhinootologie. 1995 May;74(5):322-4. doi: 10.1055/s-2007-997748.

Abstract

In this article, we report on two cases of gas-forming necrotising fasciitis of the neck admitted to our university hospital. In both patients, large gas-forming abscesses were detected by CT scan. Microbiologic smears revealed a mixed flora of aerobic and anaerobic bacteria, predominantly anaerobic streptococci. Emergency surgery with debridement and drainage, appropriate antibiotic therapy, and intensive care were performed. One 58-year-old patient with no concommittent disease recovered well after fourteen days. The other 71-year-old patient with diabetes mellitus and renal insufficiency died despite adequate therapy as a result of metabolic disturbances.

摘要

在本文中,我们报告了两例入住我校医院的颈部产气性坏死性筋膜炎病例。两名患者经CT扫描均发现有大量产气脓肿。微生物涂片显示需氧菌和厌氧菌混合菌群,主要为厌氧链球菌。进行了急诊清创引流手术、适当的抗生素治疗和重症监护。一名58岁无合并症患者在14天后康复良好。另一名71岁患有糖尿病和肾功能不全的患者尽管接受了充分治疗,但因代谢紊乱仍死亡。

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