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颈部坏死性筋膜炎1例并文献复习

Xi-fu WU,Jian-cong HUANG,Shimin ZHUANG,Zi-zhen HUANG,Jin YE,Ge-hua ZHANG

Journal of Otolaryngology and Ophthalmology of Shandong University（2014）

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Abstract
坏死性筋膜炎(necrotizing fasciitis,NF)是一种进展迅速、病情凶险、致死性的软组织感染,多发于腹部、会阴及四肢,颈部较为罕见[1].2013年5月我科诊治颈部坏死性筋膜炎1例,现结合文献对其进行分析,以增加对本病的认识、提高治疗成功率. 1 资料与方法 1.1 一般资料 患者男,45岁,因“咽痛2d,气促1d”入院.2d前因咽痛就诊,拟诊“急性咽炎”予口服抗生素治疗,症状无缓解,1d前咽痛加重、自觉气促急诊人院.入院查体:T36.2℃,P80次/min,HR12次/min,BP125/86mmHg.左侧扁桃体周围隆起、充血,会厌舌面肿胀.白细胞13.36×109/L,中性粒细胞88.6％.既往体健,否认糖尿病病史.
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