Seijas Rosales T, Díaz Alcover C, Pérez Garrigues T
Servicio de ORL, Hospital Lluis Alcanyis de Xátiva, Valencia.
Acta Otorrinolaringol Esp. 1997 Aug-Sep;48(6):504-8.
Necrotizing fasciitis is a severe polybacteria infection characterised by necrosis of the fascial and adjacent soft tissues with rapid expansion of the infection along fascial planes. It may originate potentially fatal complications and often is accompanied by systemic toxicity. It is not a frequent entity in the head and neck, but early diagnosis is very important because early treatment based on intravenous antibiotherapy and aggressive surgical debridement can prevent complications that often cause the death of the patient. Pour reports of necrotizing fasciitis are presented, one of them with fatal outcome, which leads us to emphasize the importance of an early diagnosis.
坏死性筋膜炎是一种严重的多细菌感染,其特征是筋膜及相邻软组织坏死,感染沿筋膜平面迅速扩散。它可能引发潜在的致命并发症,且常伴有全身中毒症状。它在头颈部并不常见,但早期诊断非常重要,因为基于静脉抗生素治疗和积极手术清创的早期治疗可以预防常常导致患者死亡的并发症。本文报道了4例坏死性筋膜炎,其中1例为致命结局,这促使我们强调早期诊断的重要性。 (注:原文中“Pour reports”应为“Four reports”,译文已修正)