摘要
坏死性筋膜炎(NF)合并糖尿病的发病率呈逐渐上升趋势,然而在临床中并不常见,极易误诊造成严重后果,致残、致死率较高。早期诊断、积极引流,有效抗生素的应用是治疗的关键。由于糖尿病的存在可致局部组织缺血,若采用激进的清创可使清创区域的组织渐进性坏死,区域逐渐扩大,不利于创面修复。将"蚕食清创术"应用于NF合并糖尿病的治疗中,能有效减少创面组织不必要的损失,缩短治疗时间,更大程度保存患处肢体功能。
The incidence of necrotizing fasciitis （NF） with diabetes is on the rise, but it is not Commonly seen in clinical. It is very easy to misdiagnose and cause serious consequences of high disability and fatality rate. Early diagnosis,positive and thorough drainage, the application of effective antibiotics are the keys for the treatment. Because diabetes can cause local tissue ischemia, radical debridement can cause progressive necrosis,expanding the affected area, which is not condu- cive to wound repair. If ＂encroach debridement＂ operation is applied to the treatment of NF with diabeties, it can effectively reduce the unnecessary loss of the wound tissue, shorten the treatment time, and preserve the function of the affected area to a greater extent.
出处
《医学综述》
2017年第24期4921-4925,共5页
Medical Recapitulate
关键词
糖尿病
坏死性筋膜炎
蚕食清创术
Diabetes
Necrotizing fasciitis
Encroach debridement .
