Chapnick E K, Abter E I
Division of Infectious Diseases, Maimonides Medical Center, Brooklyn, NY 11219, USA.
Infect Dis Clin North Am. 1996 Dec;10(4):835-55. doi: 10.1016/s0891-5520(05)70329-9.
Necrotizing soft-tissue infections may be rapidly fatal because of toxin-induced circulatory collapse. Because of the often nonspecific clinical presentation, prompt diagnosis may be difficult but is imperative as prompt treatment can be lifesaving. This article discusses necrotizing fasciitis and clostridial myonecrosis, and highlights pathogenesis, clinical presentation, diagnosis, and treatment.
坏死性软组织感染可能因毒素引起的循环衰竭而迅速致命。由于临床表现往往不具有特异性,及时诊断可能很困难,但这至关重要,因为及时治疗可挽救生命。本文讨论了坏死性筋膜炎和梭菌性肌坏死,并重点介绍了发病机制、临床表现、诊断和治疗。