地震伤后危重患者合并气性坏疽的综合治疗

英文篇名：Treatment of critically ill patients with gas gangrene resulted in the 2008 Wenchuan earthquake
中文刊名：中国呼吸与危重监护杂志
英文刊名：Chinese Journal of Respiratory and Critical Care Medicine
作者：金晓东 ; 胡正昌 ; 王波 ; 廖雪莲 ; 王岚 ; 杨岭 ; 王存真 ; 蒲虹 ; 康焰
英文作者：JIN Xiao-dong ; HU Zheng-chang ; WANG Bo ; LIAO Xue-lian ; WANG Lan ; YANG Ling ; WANG Chun-zhen ; PU Hong ; KANG Yan.Intensive Care Unit ; West China Hospital ; Sichuan University.Chengdu ; Sichuan ; 610041 ; China
中文关键词：地震 ; 气性坏疽 ; 重症患者
英文关键词：Earthquake ; Gas gangrene ; Critically ill patients
出版日期：2008-07-25
机构：四川大学华西医院ICU;
年：2008
期：04
出版单位：中国呼吸与危重监护杂志

摘要

目的观察综合治疗地震伤后危重患者合并气性坏疽的临床疗效。方法4例气性坏疽重症患者收入隔离ICU后给予综合治疗。结果2例行清创及肢体局部切开减张术,未行截肢术。2例已行截肢术患者未行第2次截肢术,4例患者无1例死亡。结论综合治疗地震伤后危重患者合并气性坏疽,可最大限度地缩小组织坏死范围,保存肢体并降低截肢率,已行截肢者可避免再次截肢的可能。
Objective To investigate the efficacy of interdisciplinary therapy in critically ill patients with gas gangrene in the 2008 Wenchuan earthquake.Methods Four critically wounded patients with gas gangrene caused by Wenchuan earthquake were treated by interdisciplinary cooperation.ResultsTwo patients received debridement and decompression were not amputated.Two amputated patients did not received futher amputation.Conclusions Interdisciplinary therapy of critically ill patients with gas gangrene in earthquake could limited the area of tissue necrosis,minimized the necessity of amputation and further amputation.

引文

1王战朝,主编.现代创伤与急救.北京:科学技术出版社,1997,105-107.
    2Winter E,Dommke A,Bonger BS,et al.Exogenously ac-quired Clostridium septicum gas gangrene-a case report.Swiss Surg,1998,6:316-318.
    3Ohi K,Inamura N,Suzuki M,et al.Three patients with gasgangreneOf the head and neck.Nippon Jibiinkoka Gakkai Kaiho,1993,96:1079-1085.
    4Kuroda S,Okada Y,Mia M,et al.Fulminant massive gas gangrene Caused by Clostridium perfringens.Inter Med,2005,44:499-502.
    5Zalavras CG,Patzakis MJ,Holtom PD,et al.Management of open fractures.Infect Dis Clin North Am,2005,19:915-929.
    6秦文,李国勇,曾月东.创伤气性坏疽早期诊治体会.中国中医骨伤科杂志,2007,15:215-216.