特发性阴囊坏疽的诊治

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。

Management of Fournier's gangrene

Purpose:To explore the methods of diagnosis and treatment for Fournier's gangrene. Method: Clinical date of 21 cases of Fournier's gangrene were analysed retrospectively between June 1996 and June 1999 at the Francistown Hospital of Botswana. Results:All 21 patients initially received multiple incision and drainage and wide debridement. 90.0% underwent suprapubic cystostomy. The overall survival rate was 90.5%. Conclusion: The key to successful outcome include early surgical intervention with multiple incision and drainage and wide debridement. prompt resuscitation of shock, rapid initiation of broad-spectrum antimicrobials, haemodynamic support, and repeat debridement if necessary.