I believe that anyone who has seen soft tissue infection will remember it vividly. This disease that affects the skin and soft tissue will cause a lot of skin and soft tissue suppuration. It is a rare but very serious skin disease. More serious soft tissue infections can lead to local tissue necrosis. Patients should pay attention and cooperate with treatment to prevent the condition from worsening. 1. Types of Soft Tissue Infections Common purulent infections of the skin and soft tissues include folliculitis, furuncle, carbuncle, acute cellulitis, abscess, erysipelas, and acute lymphangitis. The following are the rare necrotizing infections of the skin, subcutaneous tissue, fascia and soft tissue. ① Bacterial synergistic necrosis; ②Necrotizing fasciitis; ③Hemolytic streptococcal necrosis; ④ Subcutaneous gangrene of the newborn. 2. Symptoms and Signs of Soft Tissue Infection Redness, swelling, increased skin temperature, tenderness, nodules, lumps or red and painful strips that spread centripetally, whether there is local fluctuation, necrosis, ulcers and functional disorders, etc. Pay attention to whether there is enlargement of regional lymph nodes. Are there similar lesions in other parts of the body? Active tinea manuum and pedis. 3. Soft tissue infection physical examination Check whether there is local redness, swelling, increased skin temperature, tenderness, nodules, lumps or red and painful strips that spread centripetally; check whether there is local fluctuation, necrosis, ulcers and functional disorders; pay attention to whether there is enlargement of regional lymph nodes. Are there similar lesions in other parts of the body? Whether there is active tinea manuum and tinea pedis. IV. General treatment of soft tissue infection ① Immobilize and elevate the affected limb; ② Local hot compress or ultraviolet irradiation and other physical therapy; ③External application of Chinese medicine; ④ Blockade therapy; ⑤Radiotherapy; ⑥ If the local area has become purulent and ulcerated, the dressing should be changed appropriately. The above drugs were used until body temperature and blood count returned to normal for 3 days and then stopped. Penicillin and aminoglycosides can be used as options. In severe cases, second- and third-generation cephalosporins can be given. When mixed anaerobic infection is suspected, anti-anaerobic drugs such as metronidazole can be added. If necessary, adjust the use of sensitive drugs according to the results of bacterial sensitivity tests. |
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