蜂窩組織炎

2024/1/2

蜂窩組織炎是真皮及皮下組織被微生物感染的一種皮膚疾病。常見於下肢有破皮或開放性傷口時，病源菌由此入口經局部或淋巴系統散播，而造成局部的組織發炎。

臨床症狀

局部呈現紅、腫、熱和腫痛，若不及時治療，感染部位可能會逐漸化膿和壞死，也可能引起發燒和白血球增加等全身性的症候，嚴重者可致患肢壞疽、壞死性筋膜炎及敗血症。

醫療處置

主要為經驗性抗生素治療以控制感染，在給藥前建議作血液培養或患處局部分泌物的培養。依傷口的變化及培養結果，可再調整藥物做更精確的治療。經適當治療後約 1 ~ 3 天後症狀會改善，而 7 ~ 14天後大部分的病人可以痊癒。

護理原則

參考資料

Mark S. Pasternack & Morton N. Swartz (2020). Cellulitis, Necrotizing Fasciitis, and Subcutaneous Tissue Infections. In John E. Bennett, Raphael Dolin & Martin J. Blaser (Eds.), Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases (9th ed., pp. 1183-1209). Elsevier.
Denis Spelman, MBBS, FRACP, FRCPA, MPHLarry M Baddour, MD, FIDSA, FAHA. (2022). Acute cellulitis and erysipelas in adults: Treatment. UpToDate. Retrieved Nov 27, 2022, from https://www.uptodate.com/contents/acute-cellulitis-and-erysipelas-in-adults-treatment?search=cellulitis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
Denis Spelman, MBBS, FRACP, FRCPA, MPHLarry M Baddour, MD, FIDSA, FAHA (2022). Cellulitis and skin abscess: Epidemiology, microbiology, clinical manifestations, and diagnosis. UpToDate. Retrieved Nov 27, 2022, from https://www.uptodate.com/contents/cellulitis-and-skin-abscess-epidemiology-microbiology-clinical-manifestations-and-diagnosis?search=cellulitis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2