A young woman is admitted to the hospital for cellulitis(蜂窝织炎) after she abraded her hand on a metal gate. A few hours later, she develops fever, rigors(寒战), and an increasingly swollen, erythematous hand, shown below. Palpation of the hand reveals crepitus(捻发音).
Which of the following is the most important intervention?
A. Obtain surgical consultation.
B. Broaden antibiotics to cover anaerobes.
C. Begin resuscitation with 2-liter normal saline bolus.
D. Elevate the hand to reduce swelling.
答题情况：
这种表现是关于坏死性筋膜炎。及时手术干预是最重要的干预措施。而有液体复苏的脓毒症休克指征，广谱抗生素很重要，坏死性筋膜炎需要手术干预。一旦患者的表现如此的坏死性筋膜炎，尤其是伴有可触及的捻发音，为了获得影像结果延迟外科会诊不太可能改变治疗。
References:
- Hakkarainen TW, Kopari NM, Pham TN, Evans HL. Necrotizing soft tissue infections: review and current concepts in treatment, systems of care, and outcomes. Curr Probl Surg. 2014 Aug;51(8):344-362.
- Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the literature. J Am Coll Surg. 2009 Feb;208(2):279-288.
A
原创文章（本站视频密码：66668888），作者：xujunzju，如若转载，请注明出处：https://zyicu.cn/?p=8834
微信扫一扫 
支付宝扫一扫 