地震伤并发气性坏疽的创面处理
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摘要
目的总结地震伤并发气性坏疽的创面处理方法。方法回顾性分析18例地震伤并发气性坏疽患者的早期临床表现、诊断、创面处理及预后情况。结果18例中16例截肢患者未再行第2次截肢术,2例行清创及肢体局部切开减压,未行截肢术,所有患者临床治愈出院。结论早诊断,早治疗,全面管理患者创面,尽可能缩小组织坏死范围,提高临床救治水平,可减低病死率,同时还可避免院内交叉感染的发生。
Objective To investigate the efficacy of multidisciplinary therapy in patients with gas gangrene from Wenchuan earthquake.Method Eighteen cases with gas gangrene caused by Wenchuan earthquake were treated by multidisciplinary cooperation.Result Sixteen amputated patients did not receive further amputation.Two patients received debridement and incision decompression were not amputated.All patients were completely cured.Conclusion Multidisciplinary therapy of patients with gas gangrene in earthquake can limit the area of tissue necrosis,reduce fatality and amputation rate,and prevent further amputation.The optimal wound care ensured the stamps secondary suture and alleviated pain.
Objective To investigate the efficacy of multidisciplinary therapy in patients with gas gangrene from Wenchuan earthquake.Method Eighteen cases with gas gangrene caused by Wenchuan earthquake were treated by multidisciplinary cooperation.Result Sixteen amputated patients did not receive further amputation.Two patients received debridement and incision decompression were not amputated.All patients were completely cured.Conclusion Multidisciplinary therapy of patients with gas gangrene in earthquake can limit the area of tissue necrosis,reduce fatality and amputation rate,and prevent further amputation.The optimal wound care ensured the stamps secondary suture and alleviated pain.
引文
[1]秦文,李国勇,曾月东.创伤气性坏疽早期诊治体会[J].中国中医骨伤科杂志,2007,15(10):27-28,215-216.
[2]肖颖彬.加强汶川地区震伤员后续医学救援工作[J].西部医学,2008,20(4):679-680.
[3]Winter E,Dommke A,Bonger BS,et al.Exogenously acquiredClostridium septicum gas gangrene-a case report[J].Swiss surg,1998,(6):316-318.
[4]Kuroda S,Okada Y,Mita M,et al.Fulminant massive gas gan-grene caused by Clostridium perfringens[J].Intern Med,2005,44(5):499-502.
[5]张阳德,张崇久,赵明钢,等.“5.12”汶川大地震伤员气性坏疽的早期诊断[J].中国现代医学杂志,2008,18(23):3467.
[2]肖颖彬.加强汶川地区震伤员后续医学救援工作[J].西部医学,2008,20(4):679-680.
[3]Winter E,Dommke A,Bonger BS,et al.Exogenously acquiredClostridium septicum gas gangrene-a case report[J].Swiss surg,1998,(6):316-318.
[4]Kuroda S,Okada Y,Mita M,et al.Fulminant massive gas gan-grene caused by Clostridium perfringens[J].Intern Med,2005,44(5):499-502.
[5]张阳德,张崇久,赵明钢,等.“5.12”汶川大地震伤员气性坏疽的早期诊断[J].中国现代医学杂志,2008,18(23):3467.
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