急性坏死性筋膜炎是一种以广泛而迅速的皮肤、皮下组织和筋膜坏死为特征的软组织感染性疾病,发病急,病情凶险,病死率高。我院近期诊治1例糖尿病合并右下肢急性坏死性筋膜炎,报告如下。1临床资料病人男性.48岁。因“糖尿病酮症酸中毒”入院。空腹血糖19.3mmol/L,尿酮体(++++),血白细胞20.0×10~9/L。右足根部3cm皮损。胫前4cm皮肤发红。入院第5天出现高热,右下肢红肿剧痛,大剂量青霉素静脉滴注无好转。 Acute necrotizing fasciitis is a soft tissue infectious disease characterized by extensive and rapid skin, subcutaneous tissue and fascia necrosis. The disease is acute, dangerous and has a high case fatality rate. A recent hospital diagnosis and treatment of diabetic right lower extremity acute necrotizing fasciitis, the report is as follows. 1 clinical data patient male .48 years old. Because “diabetic ketoacidosis ” admission. Fasting blood glucose 19.3mmol / L, urinary ketone (++++), white blood cells 20.0 × 10 ~ 9 / L. Right foot 3cm skin lesions. 4cm before the tibia skin redness. The first 5 days of admission, fever, right lower extremity swelling and pain, high-dose penicillin infusion without improvement.