Halpin Thomas F, Molinari Jane A
Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Obstet Gynecol Surv. 2002 Jan;57(1):53-7. doi: 10.1097/00006254-200201000-00024.
The progression of Clostridium perfringens endomyometritis to gas gangrene is a rare, but greatly feared complication in the obstetrical patient. While endometritis following cesarean delivery is a common complication, recognition of C. perfringens as the pathogen as well as its progression to gas formation in the myometrium is essential to the survival of the patient. We present a patient that we recently cared for, and review the bacteriology, clinical diagnosis, and management.
产气荚膜梭菌子宫内膜肌炎进展为气性坏疽是产科患者中一种罕见但令人极为恐惧的并发症。虽然剖宫产术后子宫内膜炎是一种常见并发症,但识别产气荚膜梭菌作为病原体以及其在子宫肌层进展为气体形成对于患者的生存至关重要。我们介绍一位我们最近护理的患者,并回顾其细菌学、临床诊断和管理。