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경부 괴사성 근막염의 치료

Management of Cervical Necrotizing Fasciitis

오정훈|이장우|정연훈|김철호
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2005.06|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제48권 제6호|pp. 771-777

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참고문헌

키워드

괴사성 근막염·경부심부감염.Cervical necrotizing fasciitis·Deep neck infection.
주제분류이비인후과학

초록

Abstract

Background and Objectives：Cervical necrotizing fasciitis (CNF) is a rare but potentially life-threatening soft tissue infectionprimarily affecting the superficial fascial planes. The purpose of this study was to report various causes, courses of the disease,and outcomes of treatment. Subjects and Method：A retrospective chart review of 12 cases treated between January 2000 andJanuary 2004 was done. All of them were studied with CT scan and treated with intravenous antibiotics. We discussed histories,diagnostic points and treatment of each cases, and analyzed them. Results：There were 9 male and 3 female patients. The agedistribution was from 17 to 81 years. Three patients had diabetes mellitus, one patient was a heavy alcoholics, and one patient hadBuerger’s disease. Two patients were expired due to lung abscess and sepsis, but others were discharged with no complication.Wide debridement was performed in all cases. Wound reconstruction was done in two patients. Conclusion：Treatment consistsof early diagnosis, aggressive surgical debridement and drainage of the involved necrotic fascia and tissue along with broadspectrumintravenous antibiotics coverage.

참고문헌 (15)

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관련 논문AI추천

경부에 발생한 괴사성 근막염에 대한 임상적 고찰김진성, 양윤수, 이재근, 이화욱, 홍기환대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2005 · 제48권 제8호두경 안면부 괴사성 근막염 : 증례보고김왕식, 김일규, 양동환, 오남식, 최진호대한구강악안면외과학회 · 대한구강악안면외과학회지2002 · 제28권 제1호두경부 영역에 발생한 괴사성 근막염: 증례보고이원, 고택수, 김인수, 박수현, 서운경, 한형욱대한구강악안면외과학회 · 대한구강악안면외과학회지2006 · 제32권 제6호매독 환자의 경부 괴사성 근막염의 치험례강명근, 김경목, 명신원, 박재억, 이정아대한구강악안면외과학회 · 대한구강악안면외과학회지2004 · 제30권 제6호경부 심부 감염의 임상적 고찰김건형, 도남용, 동근우, 이준한, 조성일대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2007 · 제50권 제3호후인두 농양의 치료에 대한 고찰연제엽, 이동욱, 정지성대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2004 · 제47권 제9호

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