切换至 "中华医学电子期刊资源库"

中华产科急救电子杂志 ›› 2013, Vol. 02 ›› Issue (01) : 50 -53. doi: 10.3877/cma.j.issn.2095-3259.2013.01.013

所属专题: 经典病例 经典病例 文献

病例报告

剖宫产术后急性坏死性筋膜炎一例
何艳红1, 王志坚1,()   
  1. 1. 510515 广州,南方医科大学南方医院妇产科
  • 收稿日期:2012-12-03 出版日期:2013-02-18
  • 通信作者: 王志坚

Acute necrotizing fasciitis after cesarean delivery: a case report

Yan­hong HE1, Zhi­jian WANG1()   

  • Received:2012-12-03 Published:2013-02-18
  • Corresponding author: Zhi-jian WANG
引用本文:

何艳红, 王志坚. 剖宫产术后急性坏死性筋膜炎一例[J]. 中华产科急救电子杂志, 2013, 02(01): 50-53.

Yan­hong HE, Zhi­jian WANG. Acute necrotizing fasciitis after cesarean delivery: a case report[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2013, 02(01): 50-53.

图1~3 坏死性筋膜炎患者2007年10月31日照片。箭头所示下腹部及右腰部大面积紫黑色皮肤坏死,表面布有大小不等水疱,坏死区域边缘皮肤变白
图4,5 坏死性筋膜炎患者CT检查图像,提示腹壁、盆壁软组织肿胀,腹壁皮下积气(箭头示)
图6,7 坏死性筋膜炎患者病理检查图像,可见大片状坏死组织,细胞核溶解、破裂,细胞界限不清,间质变性水肿,纤维蛋白透明变性,大量炎细胞浸润(图6 HE×10,图7 HE×100)
图8 坏死性筋膜炎患者2008年11月13日植皮前腹部皮损情况
图9,10 坏死性筋膜炎患者2008年11月13日行腹部皮管切开铺平术
[1]
Wilson B. Necrotizing fasciitis. Am Surg, 1952, 18(4):416-431.
[2]
Lancerotto L, Tocco I, Salmaso R, et al. Necrotizing fasciitis: classification, diagnosis, and management. J Trauma Acute Care Surg, 2012, 72(3):560-566.
[3]
Goepfert AR, Guinn DA, Andrews WW, et al. Necrotizing fasciitis after cesarean delivery. Obstet Gynecol, 1997, 89(3):409-412.
[4]
Lynch CM, Pinelli DM, Cruse CW, et al. Maternal death from postpartum necrotizing fasciitis arising in an episiotomy: a case report. Infect Dis Obstet Gynecol, 1997, 5(5):341-344.
[5]
Häusler G, Hanzal E, Dadak C, et al. Necrotizing fasciitis arising from episiotomy. Arch Gynecol Obstet, 1994, 255(3):153-155.
[6]
Durai R, Ng PC, Uzkalnis A. Necrotising fasciitis following a caesarean section. J Obstet Gynaecol, 2012, 32(1):96-98.
[7]
Nissman KW, Nissman DB, Leighton BL, et al. Necrotizing fasciitis after cesarean delivery. Anesthesiology, 2011, 115(6):1301.
[8]
Wall DB, Klein SR, Black S, et al. A simple model to help distinguish necrotizing fasciitis from nonnecrotizing soft tissue infection. J Am Coll Surg, 2000, 191(3):227-231.
[9]
Wong CH, Khin LW, Heng KS, et al. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med, 2004, 32(7):1535-1541.
[10]
Shimizu T, Tokuda Y. Necrotizing fasciitis. Intern Med, 2010, 49(12):1051-1057.
[11]
Tilkorn DJ, Citak M, Fehmer T, et al. Characteristics and differences in necrotizing fasciitis and gas forming myonecrosis: a series of 36 patients. Scand J Surg, 2012, 101(1):51-55.
[12]
Jamal N, Teach SJ. Necrotizing fasciitis. Pediatr Emerg Care, 2011, 27(12):1195-1199.
[13]
Willy C, Rieger H, Vogt D. Hyperbaric oxygen therapy for necrotizing soft tissue infections: contra.Chirurg, 2012, 83(11): 960-972.
No related articles found!
阅读次数
全文


摘要