RESUMO
This case report describes a 55-year-old male patient with type II necrotizing fasciitis (NF) of the hand and forearm. The rapid progression of the tissue infection could be successfully stopped with radical surgical débridement and antibiotic therapy. For the reconstruction of the extensive loss of soft tissue a combination of split-thickness skin graft (STSG) and the synthetic dermal substitute MatriDerm® was used. In cases of NF, MatriDerm® and STSG provide a rapidly available and simple alternative to other reconstruction techniques.
Assuntos
Colágeno/administração & dosagem , Elastina/administração & dosagem , Fasciite Necrosante/cirurgia , Transplante de Pele , Pele Artificial , Infecções dos Tecidos Moles/cirurgia , Antibacterianos/uso terapêutico , Desbridamento , Fasciite Necrosante/tratamento farmacológico , Antebraço , Mãos , Humanos , Masculino , Pessoa de Meia-Idade , Infecções dos Tecidos Moles/tratamento farmacológicoRESUMO
We describe the advantages and disadvantages of numerical methods when Bohmian trajectory grids are used for numerical simulations of quantum dynamics. We focus on the crucial noncrossing property of Bohmian trajectories, which, numerically, must be given careful attention. Failure to do so causes instabilities or leads to false simulations.
