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「蜂窩性組織炎」案例及治療

Case Report and Treatment of Cellulitis

摘要


蜂窩性組織炎是一種皮膚組織的深部感染,顧名思義,可知人體皮膚的皮下脂肪層,乃猶如蜂窩蜂窩狀的組織,若此部位受到感染,則名之為「蜂窩性組織炎」。發生的原因主要是由於細菌感染,常見有鏈球菌、葡萄球菌、大腸菌、嗜血菌等,當感染已經侵犯到真皮及皮下組織,皮下脂肪的排列像蜂窩,所以這類炎症又稱為蜂窩性組織炎。其感染的途徑大都來自於傷口,細菌由傷口進入人體後,若人體的整體免疫系統低下,就會造成傷口發炎的嚴重現象。但在臨床的事實上,也不一定有傷口才會感染,諸如身體其他部位,若遭受細菌感染亦有可能形成「蜂窩性組織炎」。

關鍵字

鏈球菌 葡萄球菌 大腸菌 嗜血菌

並列摘要


Cellulitis is a diffuse inflammation of connective tissue with severe inflammation of dermal and subcutaneous layers of the skin. Cellulitis can be caused by normal skin flora or by exogenous bacteria. The main bacteria involved in cellulitis are Streptococcus, Staphylococcus (”staph”), E.coli, and Haemophilus. Cellulitis often occurs where the skin has previously been broken. When there is a break in the skin, however, bacteria can enter the body and cause infection and inflammation depending on the condition of immune system. Some clinical cases showed that cellulitis may also be caused by the bacterial infection in body even though there was no break in the skin.

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