多技术联合治愈胫前皮肤坏死伴坏死性筋膜炎1例报告  

Pretibial Skin Necrosis Complicated with Necrotizing Fasciitis Cured by Multi⁃technique Intervention:A Case Report

作　　者：刘嘉铭 赖海静 周小茜 蒋丽媛 信更新 肖厚安 LIU Jiaming;LAI Haijing;ZHOU Xiaoqian;JIANG Liyuan;XIN Gengxin;XIAO Houan(Department of Burns and Plastic Surgery,Xi’an Ninth Hospital,Xi’an,Shaanxi 710054,China)

机构地区：[1]西安市第九医院烧伤整形美容外科,陕西西安710054

出　　处：《中国烧伤创疡杂志》2024年第4期272-275,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：中国红十字基金会徐荣祥再生生命公益基金(RXRL2021-05);西安市第九医院科研项目(2022yb03)。

摘　　要：给予2021年4月西安市第九医院收治的1例胫前皮肤坏死伴坏死性筋膜炎患者在抗感染、营养支持等对症支持治疗的基础上,局部创面于彻底清创后采用负压封闭引流、湿润烧伤膏换药及自体微粒皮种植治疗,治疗51 d后,创面完全愈合,患者出院;出院后随访9个月,愈后皮肤遗留浅表性瘢痕。One patient with pretibial skin necrosis complicated with necrotizing fasciitis,admitted to Xi’an Ninth Hospital in April 2021,was given vacuum sealing drainage,MEBO dressing change,and autologous microskin implantation following the radical debridement for local wound management,on the basis of symptomatic and supportive treatments inclu-ding infection control and nutrition support.After 51 days of treatment,the wound was healed completely,and the patient was discharged from hospital.During the follow-up nine months after discharge,superficial scar was observed on the healed skin.

关 键 词：坏死性筋膜炎 皮肤坏死 负压封闭引流 湿润烧伤膏 自体微粒皮种植 创面 

分 类 号：R686.3[医药卫生—骨科学]