下肢术后坏死性筋膜炎作为血管手术的意外并发症:病例报告

Q4 Medicine Scripta Medica Pub Date : 2023-01-01 DOI:10.5937/scriptamed54-42564
Enes Zogic, Kemal Alihodžić, Demir Toković, Aldin Nicević, Džemail Detanac
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引用次数: 1

摘要

坏死性筋膜炎是一种罕见而严重的疾病,急性感染,往往危及生命,其特点是通过皮下组织和浅筋膜迅速和进行性扩散。它可以发生在身体的任何部位,主要影响会阴,四肢和腹壁。本文报告一位76岁男性病患,因慢性缺血行股腘动脉旁路手术后,出现下肢坏死性筋膜炎。患者之前在其他血管上进行了几种不同的血管手术,糖尿病和心血管疾病是主要的合并症。治疗包括紧急手术坏死切除术,并采取所有保守治疗措施。在治疗期间,不需要进行新的血管手术,动脉血流得以保留。有必要不断提醒外科医生这种罕见但危及生命的疾病,以便他们能够及时识别并充分治疗。
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Postoperative necrotising fasciitis of the lower limb as an unexpected complication of vascular surgery procedure: Case report
Necrotising fasciitis is a rare and severe disease, acute infection, often life-threatening, characterised by rapid and progressive spread through the subcutaneous tissue and superficial fascia. It can occur on any part of the body, mostly affecting the perineum, limbs and abdominal wall. A 76-year-old male patient with the development of lower limb necrotising fasciitis after a vascular procedure femoral-popliteal bypass, performed due to chronic ischaemia is presented. Patient previously had several different vascular procedures on other blood vessels, with diabetes and cardiovascular disease as leading comorbidities. Treatment included urgent surgical necrotomy, with all measures of conservative treatment. During the treatment, there was no need for a new vascular procedure, arterial flow was preserved. It is necessary to constantly remind surgeons about this rare but life-threatening disease so that they can recognise it in time and adequately treat it.
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CiteScore
0.60
自引率
0.00%
发文量
13
审稿时长
4 weeks
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