Younis R T, Lazar R H
Yale University Medical Center, New Haven, Conn, USA.
Arch Otolaryngol Head Neck Surg. 1996 Jan;122(1):83-5. doi: 10.1001/archotol.1996.01890130075012.
Toxic shock syndrome (TSS) is an uncommon, severe, multisystem illness that may follow any surgical procedure. It usually occurs in the immediate postoperative period and is manifested by the sudden onset of a high fever and a variety of other signs and symptoms. The reported incidence of TSS after nasal surgery is 16 cases per 100,000 patients. We report five unusual cases of delayed TSS that occurred after functional endonasal sinus surgery in which no packing was used. Toxic shock syndrome developed in three children and two adults 5 days to 5 weeks postoperatively. All patients were treated successfully with no sequelae. The pathophysiologic features, clinical manifestations, and treatment of TSS are described in detail.
中毒性休克综合征（TSS）是一种罕见的、严重的多系统疾病，可能发生于任何外科手术之后。它通常在术后即刻出现，表现为突然高热及其他多种体征和症状。据报道，鼻部手术后TSS的发病率为每10万名患者中有16例。我们报告了5例在功能性鼻内镜鼻窦手术（未使用填塞物）后发生的迟发性TSS罕见病例。3名儿童和2名成人在术后5天至5周发生了中毒性休克综合征。所有患者均成功治愈，无后遗症。本文详细描述了TSS的病理生理特征、临床表现及治疗方法。
