坏疽性穿孔性小肠切除术后破伤风：病例报告

Tetanus after a resection for a gangrenous perforated small intestine: report of a case.

作者信息

Furui J, Enjyoji A, Susumu S, Okudaira S, Takayama K, Kanematsu T

机构信息

Department of Surgery II, Nagasaki University School of Medicine, Nagasaki City, Japan.

出版信息

Surg Today. 1999;29(7):626-8. doi: 10.1007/BF02482988.

DOI:10.1007/BF02482988

PMID:10452240

Abstract

We report herein the case of a 75-year-old man who developed severe tetanus 24 h after the resection of a gangrenous perforated small intestine. It seemed that the tetanus was caused by a spillage of the intestinal contents harboring Clostridium tetani; however, this was not identified by a culture. The diagnosis of tetanus was made only when opisthotonus in this patient became evident and normal tetanus treatment proved to be successful.

摘要

我们在此报告一例75岁男性患者，其在坏疽性穿孔小肠切除术后24小时发生严重破伤风。破伤风似乎是由含有破伤风梭菌的肠内容物溢出所致；然而，培养未鉴定出该菌。仅当该患者出现角弓反张且常规破伤风治疗证明有效时，才做出破伤风的诊断。