PDF(Pubmed)
Abstract：
Necrotizing fasciitis (NF) of the face is a rare yet serious condition requiring prompt and comprehensive management. This approach typically involves input from various medical specialties such as infectious disease specialists, critical care physicians, and surgeons. The primary goals are early recognition, aggressive surgical debridement, appropriate antibiotic therapy, and supportive care. Prompt diagnosis is crucial, based on symptoms like severe pain, rapidly spreading erythema, and systemic signs of infection. Broad-spectrum antibiotics are initiated empirically, and adjusted based on culture results. Urgent surgical debridement is crucial, removing all necrotic tissue. Careful consideration must be given to preserve vital structures. Close monitoring and intensive care may be necessary, especially for severe cases. Soft tissue reconstruction may follow once the infection is controlled, aiming to restore function and aesthetics. Long-term follow-up is essential to observe for complications and recurrence.
摘要：
面部坏死性筋膜炎（NF）是一种罕见但严重的疾病，需要及时和全面的治疗。这种方法通常涉及各种医学专业的输入，如传染病专家，重症监护医生,还有外科医生.首要目标是尽早承认，积极的手术清创术，适当的抗生素治疗，和支持性护理。及时诊断至关重要，根据剧烈疼痛等症状，迅速蔓延的红斑，和全身感染的迹象。广谱抗生素是凭经验启动的，并根据文化结果进行调整。紧急手术清创至关重要，清除所有坏死组织。必须仔细考虑保护重要结构。密切监测和重症监护可能是必要的，特别是对于严重的病例。一旦感染得到控制，可以进行软组织重建，旨在恢复功能和美学。长期随访对观察并发症和复发至关重要。
