阴囊坏疽的治疗体会(附14例报告)

目的总结阴囊坏疽的治疗方法。方法2003年8月至2005年6月诊治阴囊坏疽14例，患者年龄27～74岁，平均48岁。阴囊坏疽并发肛周、阴茎坏疽者2例，并发肛周、阴茎、腹股沟区坏疽者10例，并发肛周、阴茎、腹股沟区、腹部皮下坏疽者2例。其中并发阴茎坏死3例，并发睾丸炎5例。14例细菌培养均为阳性。14例均采用Ⅰ期清创、阴囊成形、置管引流术，同时给予抗炎对症治疗。3例阴茎坏死者行阴茎全切、尿道造瘘术，2例腹部坏疽者行腹部皮下切开清创引流，5例睾丸炎者行单侧睾丸切除。结果12例阴囊成形术Ⅰ期愈合，2例尿道造瘘术患者痊愈出院。10例阴茎皮肤坏疽者1个月后阴茎植皮，痊愈出院。死亡2例。结论早期及时清创和抗炎对症治疗是治疗本病的关键，Ⅰ期清创、阴囊成形及置管引流是治疗阴囊坏疽的有效方法。     

Defining minimum standards of practice for incorporating African traditional medicine into HIV/AIDS prevention, care, and support: a regional initiative in eastern and southern Africa

In many resource-poor settings of Africa, a majority of people living with HIV/AIDS depend on and choose traditional healers for psychosocial counseling and health care. If the current pan-African prevention and care efforts spurred by the HIV pandemic do not actively engage African Traditional Medicine, they will effectively miss 80%, the vast majority of the African people who, according to the World Health Organization, rely on traditional medicine for their primary health care needs. In 2001, the Ugandan nongovernmental organization, Traditional and Modern Health Practitioners Together Against AIDS and Other Diseases, in Kampala, identified the need for a concerted, systematic, and sustained effort at both local and regional levels to support and validate African Traditional Medicine on several fronts. The Eastern & Southern Africa Regional Initiative on Traditional Medicine and AIDS was borne out of this assessment. It convened a regional consultation in May 2003, which produced a series of proposed standards around six main themes related to traditional medicine and HIV/AIDS: the systematic evaluation of traditional remedies; spiritual aspects of healing; HIV prevention and care; processing and packaging of traditional remedies; protection of indigenous knowledge; and intellectual property rights related to traditional health systems. These standards, summarized in this paper, will be incorporated into programs on traditional medicine and HIV/AIDS by various implementers in the region. A number of strategies to test and implement these recommendations are also defined.