共查询到19条相似文献,搜索用时 78 毫秒
1.
特发性阴囊坏疽四例报告 总被引:1,自引:0,他引:1
报告4例特发件阴囊坏疽。其临床特点是:阴囊(及阴茎)皮肤在较短时间内肿痛坏死,渗液,有恶臭;患者发热,血象高,全身情况差(甚至衰竭)等。治疗为局部切开引流、针对性地使用抗生素、补液并纠正水电失衡,必要时尽早切除坏死组织,及时治疗伴发病等。经分析,作者认为其发病率常与①会阴部皮肤损伤感染,②下尿路梗阻感染,③肛周直肠炎症等因素有关。 相似文献
2.
特发性阴囊坏疽的诊治 总被引:3,自引:1,他引:2
邢金春 《临床泌尿外科杂志》2001,16(5):211-212
目的:探讨特发性阴囊坏疽的诊治方法。方法:回顾分析21例特发性阴囊坏疽患者的临床资料,结果:对21例患者均行早期多切口切开引流和广泛的清创,90.0%的患者行膀胱造口术,生存率为90.5%,结论:早期多切口切开引流,广泛清创,快速纠正休克,及时使用广谱抗素,以及全身支持治疗和必要的重复清创是治疗成功的关键。 相似文献
3.
特发性阴囊坏疽七例报告 总被引:5,自引:0,他引:5
报告特发性阴囊坏疽7例,此病多无明显诱因,是以厌氧菌为主合并其它细菌的混合感染所致,发病急骤,病死率高,死亡原因与阴囊坏疽的浓度无关,而主要与坏疽范围有关,主张早期多切口切开阴囊皮肤,清除坏死组织;如病变波及腹壁、股部、髂腰部者亦应切开减张,防止感染扩散,同时抗炎、支持、对症治疗。对睾丸外露者不需植皮,可由阴囊皮肤再生覆盖创面。 相似文献
4.
5.
特发性阴囊坏疽13例报告 总被引:3,自引:1,他引:2
自1990年12月至1998年6月共收治特发性阴囊坏疽(Fournier坏疽)13例,报告如下。临床资料 本组13例。年龄17~56岁,平均47岁。发病后2天入院者3例,3~4天者6例,5~6天者4例。合并糖尿病者2例,慢性酒精中毒者6例,有轻微阴囊外伤史者1例,尿道憩室者1例。轻者坏疽面积为2cm×3cm。重者坏疽累及大部分阴囊、阴茎。有寒颤、高热、意识模糊、谵语、下腹部皮肤红肿炎症反应者7例,其中6例在下腹部可扪及皮下捻发音。血WBC>15×109/L者8例,平均每例行细菌培养3次,21例次… 相似文献
6.
7.
8.
目的探讨Fournier坏疽的临床特点和影响预后的相关因素。方法回顾性分析过去5年我院收治的Fournier坏疽30例临床资料。结果 30例患者经积极外科清创等治疗,治愈29例(96.7%),死亡1例(3.3%)。结论早期诊断和积极彻底清创手术联合使用广谱抗生素,以及全身支持疗法是Fournier坏疽治疗成功的关键。 相似文献
9.
10.
阴囊特发性坏疽起病急 ,发病快 ,病死率高 ,治疗困难 ,目前抗生素及支持疗法在临床上虽然得到及时的应用 ,病死率较以前有明显下降 ,但如何及时修复缺损的创面 ,早期恢复活动 ,对老年体弱的患者 ,非常重要。下面介绍一种早期创面的修复方法。1 资料与方法1 .1 病例资料患者 ,80岁。因阴囊肿痛 1周 ,寒战高热 3d ,神志不清半天于 1 992年 8月 6日入院。体检 :患者急性重病容 ,神志浅昏迷 ,T 40 .5℃ ,P 1 2 0次 /min ,BP 90 / 60mmHg( 1mmHg =0 .1 33kPa)。呼吸急促 ,呼吸音粗。腹部轻度胀气。阴囊会阴部皮肤肿胀 ,潮湿 ,呈紫黑色 ,触… 相似文献
11.
Takanori Ochiai Kazutoshi Ohta Masayasu Takahashi Shigeru Yamazaki Takehisa Iwai 《Surgery today》2001,31(6):553-556
Fournier's gangrene (FG) is a fatal infectious disease with necrotic fasciitis of the external genitalia. This disease persists
to this day in spite of recent advances in antibiotics. Although fewer than 100 cases have been reported in Japan, we have
treated six cases in the last 4 years. The patients consisted of five men and one woman, with an average age of 47.5 years.
All patients received surgical treatment including incisions, aggressive debridement, drainage, irrigation, and antibiotic
therapy. Two patients, who suffered from underlying diseases of diabetic nephropathy and inclusion body myositis, died. These
findings confirm the fact that FG requires a prompt diagnosis and immediate surgical treatment.
Received: April 10, 2000 / Accepted: November 20, 2000 相似文献
12.
Basoglu M Ozbey I Atamanalp SS Yildirgan MI Aydinli B Polat O Ozturk G Peker K Onbas O Oren D 《Surgery today》2007,37(7):558-563
Purpose Fournier's gangrene is a fatal synergistic infectious disease with necrotizing fasciitis of the perineum and abdominal wall
along with the scrotum and penis in men and the vulva in women.
Methods The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed.
Results The etiology of the infection was identified in 39 patients. The most common causes were colorectal diseases and urogenital
diseases. Four patients died with an overall mortality of 8.8%. The mortality rate was higher in patients with diabetes mellitus,
but it was not statistically different. The age, duration of the symptoms, and the presence of rectal abscess were not found
to be significant factors regarding mortality rate.
Conclusions Surgery with extensive debridement of all necrotic tissue is the main stay of treatment. 相似文献
13.
OBJECTIVE: To evaluate effective factors in the survival of patients with Fournier's gangrene (FG) and to determine the validity of the Fournier's Gangrene Severity Index (FGSI), which was designed for determining disease severity in these patients. METHODS: The study included 20 men with a median age of 63.5 yr treated for FG between July 2002 and June 2005. The data were evaluated about medical history, symptoms, physical examination findings, vital signs, admission and final laboratory tests, timing and extent of surgical debridement, and antibiotic treatment used. All the patients had radical surgical debridement. The FGSI, which was developed to assign a numerical score that describes the acuity of the disease, was used in our study. This index presents patients' vital signs (temperature, heart and respiratory rates) and metabolic parameters (sodium, potassium, creatinine, and bicarbonate levels, hematocrit, white blood cell count) and computes a score relating to the severity of the disease at that time. The data were assessed according to whether the patient survived or died. RESULTS: Of the evaluated 20 patients, 6 died (30%) and 14 survived (70%). The difference in age between survivors (median age, 60.0 yr) and those who died (median age, 64.5 yr) was not significant (p = 0.321). The median extent of the body surface area involved in the necrotizing process in patients who survived and did not survive was 2.3% and 4.8%, respectively (p = 0.001). Except for the albumin and alkaline phosphatase levels, no significant differences were found between survivors and who those died in the other admission laboratory parameters. The median admission FGSI scores for survivors and nonsurvivors were 2.0+/-2.2 and 4.0+/-3.7, respectively (p = 0.331). CONCLUSIONS: The FGSI score did not predict the disease severity and the patient's survival. Metabolic parameters, predisposing factors, and extent of the disease seemed to be important risk factors for predicting FG severity and whether or not a patient survived. 相似文献
14.
15.
Fournier’s gangrene is a rapidly progressive and potentially lethal disease that affects the perineum and male genitalia. Predisposing factors included age, diabetes, alcoholism, malnutrition, and low socio-economic status. Herein, we present a 70-year-old patient who developed Fournier’s gangrene following transurethral resection of the prostate. He had no predispositional factors to develop Fournier’s gangrene. 相似文献
16.
IntroductionFournier’s gangrene is a potentially fatal emergency condition, supported by an infection of perineal and perianal region, characterized by necrotizing fasciitis with a rapid spread to fascial planes. FG, usually due to compromised host, may be sustained by many microbial pathogens.Case reportA 66-year-old man, with a history of uncontrolled type 2 diabetes, obesity with BMI 38, chronic kidney failure and chronic heart failure, was admitted to the Emergency Department with a large area of necrosis involving the perineal and perianal regions.DiscussionFournier’s gangrene is favoured by hypertension, obesity, chronic alcoholism, renal and heart failure. Generally, Fournier’s gangrene needs other procedures in addition to wound debridement such as colostomy, cystostomy, or orchiectomy.ConclusionWe report a case of FG found as complication in a patient with uncontrolled type 2 diabetes, treated with effective combination therapy with surgical debridement and antibiotics infusion. 相似文献
17.
18.
19.
目的:探讨Fournier坏疽(fournier’s gangrene,FG)的病因、诊断要点和治疗方法,提高对该疾病的认识。方法:回顾性分析我院收治的1例FG患者的资料,并复习相关文献。结果:患者阴囊、会阴部、阴茎皮肤完全坏疽,经过积极的手术清创引流,使用足量广谱抗生素,全身支持治疗,在创面无明显炎症反应并长出新鲜肉芽组织后,行植皮术重塑阴囊、会阴部、阴茎皮肤,患者治愈出院。结论:FG病情凶险,病死率高,应早期诊断,一旦确诊应积极采取手术清创(切开)引流和广谱(敏感)抗生素治疗,如有皮肤缺损,应在创面无炎性渗出并长出新鲜肉芽组织后,及时行植皮或皮瓣转移术闭合皮肤缺损。 相似文献