Meltzer D L, Kabongo M
Boston University Medical School, Massachusetts, USA.
Am Fam Physician. 1997 Jul;56(1):145-9.
Group A streptococci are responsible for much of the morbidity associated with skin infections. Necrotizing fasciitis, the most extreme form of these infections, may be life-threatening. Consequently, physicians need to know how to diagnose and effectively treat this deep infection of the subcutaneous tissues. The diagnosis of necrotizing fasciitis is based on the history (i.e., predisposing factors to infection), gram staining and culture, radiography and, ultimately, surgical exploration. The infection is treated with antibiotics, hyperbaric oxygenation and surgical debridement.
A组链球菌是许多与皮肤感染相关的发病原因。坏死性筋膜炎是这些感染中最严重的一种形式，可能危及生命。因此，医生需要知道如何诊断并有效治疗这种皮下组织的深部感染。坏死性筋膜炎的诊断基于病史（即感染的易感因素）、革兰氏染色和培养、放射成像，最终还需要手术探查。该感染采用抗生素、高压氧疗和手术清创进行治疗。
