THE MANAGEMENT OF SKIN INFARCTION AFTER MENINGOCOCCAL SEPTICEMIA IN CHILDREN

被引：17

作者：

HUDSON, DA ^{[1
]}

GODDARD, EA ^{[1
]}

MILLAR, KN ^{[1
]}

机构：

[1] UNIV CAPE TOWN,DEPT PLAST RECONSTRUCT & MAXILLOFACIL SURG,CAPE TOWN,SOUTH AFRICA

来源：

BRITISH JOURNAL OF PLASTIC SURGERY | 1993年 / 46卷 / 03期

关键词：

D O I：

10.1016/0007-1226(93)90176-C

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The clinical course and management of 21 children (12 females, 9 males; mean age 2.4 years) with skin necrosis secondary to meningococcal septicaemia is described. Skin necrosis was most commonly sited in the lower limbs (20 patients). Sixteen patients had multiple areas of involvement and amputation of the digits was required in 5 patients. One required an above knee amputation. Small areas of skin necrosis were managed conservatively (4 patients) but larger areas required debridement and grafting. Skin grafting was delayed in 15 patients and graft loss occurred in 8. Multiple grafting procedures were required in 6 patients. Scar revision was required in 6 patients. Nutritional support is also an important component of management.

引用

页码：243 / 246

页数：4

共 19 条

[1] SKIN LOSS IN MENINGOCOCCAL SEPTICEMIA [J].

ADENDORFF, DJ ;

LAMONT, A ;

DAVIES, D .

BRITISH JOURNAL OF PLASTIC SURGERY, 1980, 33 (02) :251-255

[2]

BEHRMAN RE, 1987, NELSON TXB PEDIATRIC, P589

[3]

BOWSICK JA, 1987, ART SCI BURN CARE, P104

[4]

CARSON JWK, 1985, IRISH MED J, V78, P14

[5]

DAVIS CE, 1974, J EXP MED, V140, P158

[6] SOME RECOLLECTIONS OF MENINGOCOCCAL DISEASES [J].

FELDMAN, HA .

JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1972, 220 (08) :1107-&

[7] SKIN NECROSIS SECONDARY TO MENINGOCOCCAL SEPTICEMIA IN AN ADULT [J].

FIELDING, GA ;

JENKINS, AM .

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1987, 57 (01) :57-60

[8] SKIN LOSS IN MENINGOCOCCAL SEPTICEMIA - REPORT OF 3 CASES [J].

GAZE, NR ;

MURRAY, DS .

BRITISH JOURNAL OF PLASTIC SURGERY, 1976, 29 (03) :257-261

[9]

GOLD E, 1987, PEDIATRICS, P516

[10]

JACOBSEN ST, 1984, CLIN ORTHOPAEDICS, V185, P214

← 1 2 →