2例外伤感染嗜水气单胞菌致坏死性筋膜炎的病例特点及临床转归  

Case Characteristics and Clinical Outcome of 2 Cases of Necrotizing Fasciitis Caused by Aeromonas Hydrophila

作　　者：江丽莉[1] 朱延焱[1] 余璟璐[1] 丁卉[1] 赵志钢[1] JIANG Lili;ZHU Yanyan;YU Jinglu;DING Hui;ZHAO Zigang(The Central Hospital of Lishui,Zhejiang,323000,China)

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《浙江医学教育》2018年第5期55-57,共3页Zhejiang Medical Education

摘　　要：嗜水气单胞菌具有广泛的致病性,但多为条件致病而不是急性致病,以往报道多为水源和食源性条件致病,而引起坏死性筋膜炎的病例报道较少。本文通过2例外伤感染嗜水气单胞菌致坏死性筋膜炎的病例,了解感染嗜水气单胞菌的病例特点以及临床转归。通过积极的抗感染治疗,2例患者中1例致高位截瘫,1例死亡。外伤感染嗜水气单胞菌致坏死性筋膜炎,起病隐匿,病情凶险,致残率及致死率高,临床上应引起足够的重视。Aeromonas hydrophila has a wide range of pathogenicity,but mostly conditional disease which was caused by w ater and food-borne conditions,rather than acute pathogenesis.,There w ere few reports of necrotizing fasciitis. In this paper,the case of necrotizing fasciitis caused by infection w ith Aeromonas hydrophila w as studied in 2 cases,and the characteristics and clinical outcome of infection w ith Aeromonas hydrophila w ere investigated. Through active anti-infective treatment,one of tw o patients had high paraplegia and one died. Trauma infection caused by Aeromonas hydrophila necrotizing fasciitis has the character of onset of occult,dangerous conditions,disability and mortality rate,so clinical attention should be paid enough attention.

关 键 词：嗜水气单胞菌 坏死性筋膜炎 感染 截瘫 

分 类 号：R378.99[医药卫生—病原生物学]