肛周脓肿致大面积急性坏死性筋膜炎及阴囊坏疽一例并文献复习

发布时间：2019-03-12 09:54

【摘要】：目的提高临床医生对急性坏死性筋膜炎及阴囊坏疽的认识。方法结合肛周脓肿致大面积急性坏死性筋膜炎及阴囊坏疽一例的诊治过程，复习相关文献，对其病因、发病机制、临床表现及诊治特点进行分析。结果急性坏死性筋膜炎及阴囊坏疽大多是由多因素致病，起病急，进展快，危害极大，处理相当困难的软组织感染性疾病。多数可经多次及时手术切开清除坏死组织、创面冲洗换药及抗休克、抗感染，加强营养支持等对症治疗后治愈。结论急性坏死性筋膜炎及阴囊坏疽是罕见病，但近年来国内外报道增多，，且发病早期与其他软组织感染如丹毒、蜂窝织炎及气性坏疽等难以鉴别，尽管现代医学发展迅速，但误诊率仍较高，故早期诊断与及时适当治疗可明显减少病死率与术后并发症。
[Abstract]:Objective To improve the understanding of the clinical doctor about the acute necrotizing fasciitis and the gangrene of the scrotum. Methods The diagnosis and treatment of a large area of acute necrotizing fasciitis and a case of the scrotum gangrene were combined with perianal abscess. The relevant literature was reviewed, and the cause, the pathogenesis, the clinical manifestation and the characteristics of the diagnosis and treatment were analyzed. The results showed that the acute necrotizing fasciitis and the gangrene of the scrotum are mostly caused by multiple factors, the onset of the disease is acute, the progress is fast, the harm is great, and the soft tissue infection is very difficult to deal with. Most of the diseases can be treated in a number of times, such as the removal of necrotic tissue, the flushing of the wound surface, the anti-shock, the anti-infection, the strengthening of the nutritional support, and the like. Conclusion The acute necrotizing fasciitis and the gangrene of the scrotum are rare, but in recent years, the reports of acute necrotizing fasciitis and the gangrene of the scrotum are more and more difficult to distinguish between the early and other soft tissue infections such as erysipelas, cellulitis and gas gangrene. The rate of diagnosis is still high, so early diagnosis and proper treatment can significantly reduce the case fatality rate.
【学位授予单位】：华中科技大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R686.3

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