ROLE OF EARLY AND EXTENSIVE SURGERY IN THE TREATMENT OF SEVERE NECROTIZING SOFT-TISSUE INFECTION

被引:128
作者
VOROS, D [1 ]
PISSIOTIS, C [1 ]
GEORGANTAS, D [1 ]
KATSARAGAKIS, S [1 ]
ANTONIOU, S [1 ]
PAPADIMITRIOU, J [1 ]
机构
[1] UNIV ATHENS,SCH HLTH SCI,DEPT SURG 2,ATHENS,GREECE
关键词
D O I
10.1002/bjs.1800800943
中图分类号
R61 [外科手术学];
学科分类号
摘要
Forty-two patients with necrotizing soft tissue infection are reviewed. Bacterial culture revealed between two and seven types of micro-organism in each patient. All patients were treated with radical surgical debridement and a combination of antibiotics. In 30 patients, early diagnosis and treatment resulted in only two deaths. Delayed surgical intervention in 12 patients transferred from outside hospitals was followed by nine deaths. Predisposing factors and site of infection did not affect outcome. Of 26 patients with systemic manifestations of sepsis, 16 survivors responded well to initial surgical debridement.
引用
收藏
页码:1190 / 1191
页数:2
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