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地震伤后危重患者合并气性坏疽的综合治疗
引用本文:金晓东,胡正昌,王波,廖雪莲,王岚,杨岭,王存真,蒲虹,康焰.地震伤后危重患者合并气性坏疽的综合治疗[J].中国呼吸与危重监护杂志,2008,7(4):257-258.
作者姓名:金晓东  胡正昌  王波  廖雪莲  王岚  杨岭  王存真  蒲虹  康焰
作者单位:四川大学华西医院ICU,四川成都,610041
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。

关 键 词:地震  气性坏疽  重症患者

Treatment of critically ill patients with gas gangrene resulted in the 2008 Wenchuan earthquake
JIN Xiao-dong,HU Zheng-chang,WANG Bo,LIAO Xue-lian,WANG Lan,YANG Ling,WANG Chun-zhen,PU Hong,KANG Yan.Treatment of critically ill patients with gas gangrene resulted in the 2008 Wenchuan earthquake[J].Chinese Journal of Respiratory and Critical Care Medicine,2008,7(4):257-258.
Authors:JIN Xiao-dong  HU Zheng-chang  WANG Bo  LIAO Xue-lian  WANG Lan  YANG Ling  WANG Chun-zhen  PU Hong  KANG Yan
Institution:. ( Intensive Care Unit, West China Hospital, Sichuan University. Chengdu, Sichuan 610041 ,China )
Abstract: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 . Results Two 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.
Keywords:Earthquake  Gas gangrene  Critically ill patients
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