坏死性筋膜炎是涉及皮肤的软组织的严重且可能危及生命的感染,皮下脂肪,筋膜,和肌肉。它可以迅速传播并导致组织死亡,脓毒症,中毒性休克综合征,心肺衰竭,甚至死亡,尤其是慢性病患者,免疫受损状态,或不动。为了控制坏死的扩散,及时诊断和积极的手术干预与受影响组织的彻底清创术是必不可少的,随着广谱抗生素和重症监护支持的管理,当需要时。负压伤口治疗的应用已用于治疗急性和复杂伤口,效果良好。这里,我们介绍一例82岁女性发烧,心动过速,低血压与潜在的糖尿病共病,高血压,和椎管狭窄.进一步探索,她被发现患有累及左臀区的坏死性筋膜炎。本文描述了使用真空辅助闭合敷料作为治疗严重坏死性筋膜炎的连续清创的辅助手段。
Necrotizing fasciitis is a severe and potentially life-threatening infection of the soft tissues that involves the skin, subcutaneous fat, fascia, and muscle. It can rapidly spread and lead to tissue death, sepsis, toxic shock syndrome, cardiopulmonary failure, and even death, especially in patients with chronic diseases, immunocompromised status, or immobility. To control the spread of necrosis, prompt diagnosis and aggressive surgical intervention with radical debridement of the affected tissues are essential, along with the administration of broad-spectrum antibiotics and intensive care support, when required. The application of negative pressure wound therapy has been utilized in the management of acute and complicated wounds with good outcomes. Here, we present a
case of an 82-year-old female who presented with fever, tachycardia, and hypotension with underlying comorbid conditions of diabetes mellitus, hypertension, and spinal stenosis. On further exploration, she was found to have necrotizing fasciitis involving the left gluteal region. The present article describes the use of a vacuum-assisted closure dressing as an adjunct to serial debridement in the treatment of severe necrotizing fasciitis.