Huge bedsore cure 1 case of necrotizing fasciitis complicated.docVIP

 PAGE \* MERGEFORMAT 6 Huge bedsore cure 1 case of necrotizing fasciitis complicated Of: Wu Qingyun, Zhang, Li Peifu, Ding Yuping, Wu Dehua, with cool, Yao Limin [Abstract] huge bedsore of 1 case of necrotizing fasciitis complicated treatment to the huge abscess, abscess in a lot of memory is characterized by necrotic fascia. Treatment with abscess incision and drainage, highly effective, broad-spectrum antibiotics as the main treatment. [Keywords:] pressure ulcers; fasciitis; shock May 2008 admitted a huge bedsore infection complicated with necrotizing fasciitis and septic shock in 1 case, hospital 176 days, were discharged, are as follows. Clinical data 1 General information were female, 43 years old, bedridden paraplegic after a car accident more than 20 years, 3 weeks before admission, not in time for turning over a huge bed sore spots cause the body, mainly in the sacrococcygeal, both lower extremities, the overall surface area of #8203;#8203;about 7% . there are more necrotic tissue wounds, sacral, coccyx, ilium, greater trochanter, and bilateral occipital and bilateral calcaneus and other sites exposed to multiple follicles. 1 day before admission, persistent high fever (body temperature of 40 C), appears shock and coma, evacuation hospital for treatment. examination: The patient, confusion, heart rate 138 times / min, breathing 41 times / min, blood pressure 70/40mmHg. extensive body edema, trunk, buttocks and upper part of the thigh there is double huge potential abscess, located in the skin and superficial muscle. Vomica range: for the right side of the subscapularis, within the midline, down to the two-lap 1 / 2, the former for the whole abdominal wall. touch grip the snow surface abscess sense of abscess incision, a large number of thin pus and necrotic fascia large outflow. Laboratory tests: sodium, potassium, low protein and anemia, high blood glucose, blood gas analysis for the metabolic acidosis plus respiratory alkalosis , En