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治疗下肢坏死性筋膜炎1例体会

Necrotizing Fasciitis in Lower Limb:A Case Report

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【作者】 李敬刘刚徐丽敏刘栋纪华安王庆文

【Author】 LI Jing,LIU Gang,XU Li-min,LIU Dong,JI Hua-an,WANG Qing-wen Tianjin Changzheng Hospital,Tianjin 300120,China

【机构】 天津市长征医院

【摘要】 报告1例下肢坏死性筋膜炎,合并糖尿病与静脉曲张。患者女,38岁,左股外侧红肿、硬化、萎缩、皮肤坏死、溃疡,剧痛2个月就诊。细菌培养生长金黄色葡萄球菌,皮肤组织病理诊断为坏死性筋膜炎。给予广谱抗生素和两次外科清创术,疗效满意。

【Abstract】 To report a case of necrotizing fasciitis in lower limb combination with diabetes mellitus and varicosity.The patient was a 38-year-old lady.There was erythema,swelling,induration,atrophy,skin necrosis,ulcers with severe tenderness over the left outboard thigh.Staphylococcus aureus are isolated by bacterial culture.Microscopic pathology confirmed the diagnosis.Management consist of broad spectrum intravenous antibiotics and two times of surgical debridement,the therapy was gratifying.

【关键词】 坏死性筋膜炎糖尿病诊断治疗
【Key words】 necrotizing fasciitisdiabetes mellitusdiagnosistreatment
  • 【文献出处】 中国中西医结合皮肤性病学杂志 ,Chinese Journal of Dermatovenereology of Integrated Traditional and Western Medicine , 编辑部邮箱 ,2009年01期
  • 【分类号】R658
  • 【被引频次】1
  • 【下载频次】115
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