The 68 -year -old man ulcerated his body for no reason. After the hospital examination, he actually involved a big problem.
Author:Hunan Medical Chat Time:2022.06.21
A month ago, 68 -year -old Grandpa Liu felt a little itchy at the scrotum when he took a bath, and he grabbed it twice, but found that there was blood on his hand. Take a closer look, the scrotum has been ulcerated.
After a few days of hanging the needle for a few days in a row, the itching and pain have improved, but the skin redness and swelling not only did not reduce it, but it became more serious. come out.
Grandpa Liu was very painful and his spirit became sluggish. He came to the Department of Burning and Plastic Surgery at the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine and was diagnosed with perineal necrotic fasciitis.
After examination, the doctor said that the course of necrotic fasciitis has progressed very quickly, and it can quickly develop into purulent venomia and toxic shock. The mortality rate is very high! Grandpa Liu's condition is very dangerous and need to surgery immediately. The hospital quickly determined the treatment plan and arranged emergency surgery. After the operation of TCM treatment after surgery, Grandpa Liu turned to safety.
What is necrotic fasciitis? What are the symptoms? How to prevent it? Zhou Zhongzhi, director of the Department of Burning and Plastic Surgery of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, gave a detailed introduction.
What is necrotic fasciitis
Wple fasciitis is a wide and rapid soft tissue infection characterized by subcutaneous tissue and fascia necrosis. The disease was urgent, and the early local signs were extremely hidden. The local wounds were small at first, and the performance was not serious. It was easy to be ignored by patients.
But the course of the disease is quite fast, which can affect the entire limb within 24 hours. If not diagnosed and treated in time, patients can develop into purulent hemorrhoids and toxic shock. The severity of local signs and systemic symptoms is not the main feature of the disease.
Symptoms of necrotic fasciitis
In the early stage of necrotic fascia, local infection symptoms were still mild. Patients had severe systemic poisoning symptoms such as chills, high fever, anorexia, dehydration, conscious disorder, hypotension, anemia, and jaundice.
Local symptoms have the following manifestations:
▲ Slip -like redness, pain: early skin redness, purple -red flakes, unclear boundaries, pain.
▲ Pain eases, and the affected area numb: there are severe pain in the early days of infection. When the sensory nerves of the lesion are destroyed, the pain is relieved, and numb discomfort occurs.
▲ Blood blister: The color of the skin is gradually purple and dark, and blisters or big blisters containing blood -containing liquids appear.
▲ Stinky bloody osmosis: The skin exudation liquid is hemogenesis liquid liquid, which is strange. The necrosis spread widely, showing a potential, and sometimes subcutaneous gases. Examination can be found to be twisted.
Prevention of necrotic fasciitis
Zhou Zhongzhi, director of the Department of Burning and Plastic Surgery of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, reminded that necrotic fasciitis is good at immune functional damage, long -term use of corticosteroids and immunosurative agents, and small vascular lesions such as diabetes. After mild skin damage such as abrasion, injury, insect bites, etc., as well as the peridine abscess drainage, tooth extraction, and intravenous injection.
Preventing necrotic fasciitis should actively treat primary systemic diseases and local skin injuries. Those who have long -term use of corticosteroids and immunosuppressors should pay attention to strengthening nutrition, improve the body's immunity, and prevent the occurrence of trauma. During the trauma of the skin, the pollutants should be removed in time and the wound is disinfected. If trauma and postoperative discomfort, actively ask for a doctor.
(Edit ZS. Part of the picture source network, invading deletion)
Hunan Medical Chat Special Author: Huang Xinling, First Affiliated Hospital of Hunan University of Traditional Chinese Medicine
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