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[剖宫产术后坏死性筋膜炎。细菌协同作用,还是软组织混合感染?]

[Post-cesarean necrotizing fasciitis. Bacterial synergism, or mixed infection of the soft tissues?].

作者信息

Martinez Velasco I G, Plascencia Valadez V, Salinas Treviño J, Sanchez Gutierrez J, Tirado Saldivar A

机构信息

Ginecoobstetra-Perinatólogo, Hospital General de Ciudad Victoria, Tamaulipas.

出版信息

Ginecol Obstet Mex. 1996 Feb;64:58-63.

PMID:8714065
Abstract

It has been demonstrated recently that most of the disemminated infections of the dermis, necrotizing fascitis included are due to a mix bacteria infection working sinergistically, demonstrated by clinical studies as well as in experimental animals. Treatment based on wide spectrum antibiotics and extensive debridement of the necrotic tissue performed by a team of several specialists have diminished mortality to 10%. We report a case of necrotizing fasciitis following a cesarean section in the absence of risk factors. We discuss risk factors, classification, etiology, diagnosis and therapy in light of the current knowledge.

摘要

最近已证实,大多数真皮的播散性感染,包括坏死性筋膜炎,是由协同作用的混合细菌感染引起的,这已在临床研究以及实验动物中得到证实。由一组多名专家进行的基于广谱抗生素和广泛清创坏死组织的治疗已将死亡率降至10%。我们报告一例无危险因素的剖宫产术后坏死性筋膜炎病例。我们根据当前知识讨论危险因素、分类、病因、诊断和治疗。

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