肛周坏死性筋膜炎临床诊治中国专家共识(2019年版)

2019-07-30 中国医师协会肛肠分会 中华胃肠外科杂志.2019,22(7):689-693.

肛周坏死性筋膜炎是一种发生于肛周、会阴部的严重软组织感染性疾病,多种细菌协调作用(包括需氧菌和厌氧菌)造成皮肤及软组织化脓性坏死。本病进展迅速,可经血液循环引起全身脓毒血症,常并发休克、多器官功能衰竭(MODS)甚至死亡。对早期感染诊断和治疗的延误,可能导致更高的病死率。由于我国目前缺乏统一规范的诊治流程,故中国医师协会肛肠医师分会临床指南工作委员会组织国内专家,通过借鉴国外最新指南及文献,结合我

中文标题:

肛周坏死性筋膜炎临床诊治中国专家共识(2019年版)

发布日期:

2019-07-30

简要介绍:

肛周坏死性筋膜炎是一种发生于肛周、会阴部的严重软组织感染性疾病,多种细菌协调作用(包括需氧菌和厌氧菌)造成皮肤及软组织化脓性坏死。本病进展迅速,可经血液循环引起全身脓毒血症,常并发休克、多器官功能衰竭(MODS)甚至死亡。对早期感染诊断和治疗的延误,可能导致更高的病死率。由于我国目前缺乏统一规范的诊治流程,故中国医师协会肛肠医师分会临床指南工作委员会组织国内专家,通过借鉴国外最新指南及文献,结合我国的研究成果及临床实践,针对肛周坏死性筋膜炎的病因病理、临床表现、实验室及影像学检查、术前准备、治疗(抗生素的应用、清创的时机及要点、辅助手术)、术后伤口管理、营养支持治疗、外科重建、康复等多方面相关问题,进行了多次讨论,最终于2019年4月形成了专家共识。

拓展指南:坏死性筋膜炎相关指南:

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