Wattel F, Mathieu D, Neviere R, Chagnon J L
Service d'Urgence respiratoire, de Réanimation médicale, et de Médecine hyperbare, hôpital Calmette, Lille.
Chirurgie. 1992;118(10):615-20.
Hyperbaric oxygenation (HBO), as an adjuvant treatment in necrotizing soft tissues infections and in gas gangrene is reviewed, including its specific effects, experimental studies and clinical reports. With a global therapeutic management, considered as an emergency state, including surgery, antibiotic regimens and HBO, we can obtained 50% mortality and morbidity decrease with a more conservative surgery. Finally, favorable outcome is associated with early therapeutics and localization of the initial necrotizing infection.
本文综述了高压氧疗法(HBO)作为坏死性软组织感染和气性坏疽辅助治疗的相关内容,包括其具体作用、实验研究和临床报告。在全球范围内的治疗管理中,将其视为一种紧急情况,包括手术、抗生素治疗方案和HBO,我们可以通过更保守的手术使死亡率和发病率降低50%。最后,良好的治疗效果与早期治疗以及初始坏死性感染的定位有关。