肛周坏死性筋膜炎伴腹膜后延伸一例病例报道
A case of perianal necrotizing fasciitis with retroperitoneal extension
王春霞 1赵丽霞 1张迪 1张洪来 2张维胜 2王涛 2杨熊飞2
作者信息
- 1. 730000 兰州,甘肃中医药大学第一临床医学院
- 2. 730000 兰州,甘肃省人民医院肛肠科
- 折叠
摘要
坏死性筋膜炎(NF)是一种罕见但可能致命的疾病.它被定义为细菌快速扩散的皮下软组织感染.NF延伸到腹膜后可能会使这种致命性的疾病进一步复杂化.我们报告了 1例37岁的患者,因肛周疼痛、红肿、脓性渗出和发热症状就医.经过详细检查诊断为肛周NF,并己延伸至腹膜后区域,导致腹膜后局部感染.患者入院后接受了抗生素治疗,经治疗后恢复良好,感染得到了控制,最后顺利出院.
Abstract
Necrotizing fasciitis(NF)is a rare but potentially fatal disease.It is defined as a subcutaneous soft tissue infection in which bacteria spread rapidly.NF extending retroperitoneally may further complicate this deadly disease.We report a 37-year-old patient who sought medical attention for perianal pain,redness,purulent exudation,and fever.Upon detailed examination,the diagnosis was perianal NF,which had extended into the retroperitoneal area,resulting in a local retroperitoneal infection.The patient received antibiotics after admission,the patient recovered well after treatment,the infection was controlled,and finally discharged successfully.
关键词
肛周脓肿/肛周坏死性筋膜炎/腹膜后坏死性筋膜炎Key words
Perianal abscess/Perianal necrotizing fasciitis/Retroperitoneal necrotizing fasciitis引用本文复制引用
基金项目
甘肃省自然科学基金项目(22JR5RA653)
甘肃省肛肠疾病临床医学研究中心项目(20JR10RA434)
兰州市科技计划项目(2022-5-68)
出版年
2024