死亡软组织感染:单一中心的病例系列
Francesca Toia1, Andrea Pio Cascino1, Mara Franza1
1Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, Palermo, Italy.
International wound journal
|February 27, 2026
概括
死亡软组织感染 (NSTI) 需要快速诊断和手术干预. 延迟治疗增加了发病率和死亡率,突出了及时护理和手术的关键作用,如肢体截肢以求生存.
科学领域:
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
- 关键护理医学 关键护理医学
背景情况:
- 死亡软组织感染 (NSTI) 是一种严重的,迅速进展的疾病,患病率和死亡率高.
- 及时诊断和积极的手术除菌对于有效管理NSTI至关重要.
研究的目的:
- 分析患有NSTI的患者的诊断和治疗途径,手术干预和结果.
- 评估组织培养 (TC) 和肢体截肢在治疗严重NSTI病例中的作用.
主要方法:
- 在2015年至2024年期间接受治疗的40名NSTI患者的回顾性分析.
- 对人口统计数据,微生物学结果,治疗过程,临床结果和死亡率的审查.
- 组织培养 (TC) 指示,时间,肢体截肢和重建技术的具体审查.
主要成果:
- 35%的患者因延误而被转诊到晚期.
- 每位患者的平均外科手术次数为4.
- 20%的患者经历了肢体截肢,17.5%的患者在住院期间死亡.
结论:
- NSTI是一种危及生命的紧急情况,需要通过专门的临床途径迅速诊断和治疗.
- 组织培养 (TC) 对于关键或不清楚的诊断至关重要,肢体截肢在严重情况下可能是拯救生命的手术.
相关概念视频
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
532
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
532
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
6.0K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.0K
01:27Acute Pyelonephritis I: Introduction
856
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
856