Acute Clinical Diagnosis and Treatment of necrotizing fasciitis.docVIP

 PAGE \* MERGEFORMAT 10 Acute Clinical Diagnosis and Treatment of necrotizing fasciitis [Abstract] Objective: To summarize necrotizing fasciitis in children with acute clinical experience. Method: 1997 to 2005 were treated eight cases of necrotizing fasciitis in children clinical features, diagnosis and treatment were analyzed. Results: 8 cases of children cured, 7 cases and 1 died. Conclusion: Acute necrotizing fasciitis early diagnosis and timely incision and drainage is a key factor affecting the prognosis. Only by taking a series of comprehensive treatment measures to clinical cure. [Keywords:] necrotizing fasciitis; pediatric infections; incision and drainage Necrotizing fasciitis in children is a serious infection in pediatric surgical diseases, mainly manifested in the conduct of skin necrosis of fascia, its course of rapid progress, the condition dangerous, once the delay in treatment, often resulting in death. Our department from 1997 to 2005 were treated in 8 cases, these are as follows. 1 Data and methods 1.1 General information on eight cases of children with 3 males and 5 females, age 20 d ~ 10 years old, one month less than 1 case, 1 year of 2 cases, 1-year-old to 7 years in 4 cases, 7 years old in 1 case, incidence areas: the waist and back in 3 cases, 2 cases buttocks, abdomen, neck, lower limb in 1 case. With skin infections (rash), history of trauma in 3 cases, partial non-regular injection of a history of two cases of mosquito bites in 1 case, 2 cases of unclear medical history. 1.2 clinical manifestations of disease area swollen, stiff, purple skin color was gray, ill-defined severe there may be purplish black necrotic spots and Xuepao, the skin lesion area of pain decreased or disappeared, many accompanied by children with fever, body temperature in 6 cases In the more than 38.5 ℃ . Two cases of children react to poor performance of lethargy. 1 cases of children with coma, convulsions. 1.3 All laboratory tests were signif