| 下肢严重开放伤并发气性坏疽的原因分析 |
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| 引用本文： | 傅庭斌,李颖,杨俊生,牛军涛,周强. 下肢严重开放伤并发气性坏疽的原因分析[J]. 东南国防医药, 2009, 11(3): 221-223 |
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| 作者姓名： | 傅庭斌 李颖 杨俊生 牛军涛 周强 |
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| 作者单位： | 解放军第454医院骨科,江苏南京,210002 |
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| 摘 要： | 目的分析下肢严重开放伤并发气性坏疽的原因。方法对我院1988年5月-2005年10月收治的9例下肢严重开放伤并发气性坏疽患者的治疗情况进行回顾性总结,分析并发气性坏疽的原因,并对有关问题进行探讨,提出我们的看法和建议。结果9例患者均急诊行大腿中1/3或中上1/3截肢术,术后3-5小时体温开始逐渐下降,12-24小时体温降至38℃左右,3-5天体温恢复正常或接近正常,5-7天肝肾功能恢复基本正常,术后2-3周再次清创,创面植皮或直接缝合,4-6周出院,无死亡病例。结论外伤清创不彻底、治疗不规范是并发气性坏疽的直接原因。
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| 关 键 词： | 下肢开放伤 外科清创 气性坏疽 |
Analysis of cause for gas gangrene complicating severe open leg injury |
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| Fu Ting-bin,Li Ying,Yang Jun-sheng,Niu Jun-tao,Zhou Qiang. Analysis of cause for gas gangrene complicating severe open leg injury[J]. Journal of Southeast China National Defence Medical Science, 2009, 11(3): 221-223 |
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| Authors: | Fu Ting-bin Li Ying Yang Jun-sheng Niu Jun-tao Zhou Qiang |
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| Affiliation: | Fu Ting-bin,Li Ying,Yang Jun-sheng,Niu Jun-tao,Zhou Qiang(Orthopaedics Departmeng of 454th Hospital of PLA,Nanjing,210002) |
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| Abstract: | Objective Analyze the cause for gas gangrene complicating severe open leg injury.Methods Retrospectively analyzed the cause for 9 cases of gas gangrene complicating severe open leg injury from March,1988 to Oct,2005 and provided with our suggestion for effective treatment.Results Amputation surgery was applied to all the 9 cases at 1/3 site of their middle or upper thighs in emergency.Their body temperature decreased after 5 hours of operation,and became normal after 3-5 days.The function of kidney and live... |
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| Keywords: | Open leg injury Debridement Gas gangrene |
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