[Clinical analysis of 29 cases of cervical necrotizing fasciitis].

Yaming Zhao, Hongliang Yi, Jian Guan, Yujun Zhang, Shankai Yin
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引用次数: 0

Abstract

Objective: To study the experience of clinical features and treatment of deep cervical necrotizing fasciitis.

Method: All 29 cases of cervical necrotizing fasciitis patients were diagnosed by CT, 12 cases underwent tracheostomies, lateral neck incisions and drainage operations, the other 17 patients underwent lateral neck incisions and drainage operations. Sequently washing, dressing changes and anti infection treatments were taken.

Result: Twenty-eight cases were cured, 1 cases died. During a follow-up of half a year,no relapse.

Conclusion: When patient was sufferd the cervical necrotizing fasciitis, surgical operation for exploration should be taken as soon as possible,and incision and drainage in the treatment of cervical abscess would obtain a satisfactory curative effect, which would prevent serious complications.

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[宫颈坏死性筋膜炎29例临床分析]。
目的:探讨颈部深部坏死性筋膜炎的临床特点及治疗体会。方法:29例宫颈坏死性筋膜炎患者均行CT诊断,其中12例行气管切开术、颈外侧切口引流术,17例行颈外侧切口引流术。随后进行清洗、换药和抗感染治疗。结果:治愈28例,死亡1例。随访半年,无复发。结论:当患者发生宫颈坏死性筋膜炎时,应尽早采取手术探查,切开引流治疗宫颈脓肿可获得满意的疗效,可防止严重并发症的发生。
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