新生儿及婴儿的福尼尔坏疽

Fournier's gangrene in neonates and infants.

作者信息

Ameh E A, Dauda M M, Sabiu L, Mshelbwala P M, Mbibu H N, Nmadu P T

机构信息

Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, PO Box 76, 810 001 Zaria, Nigeria.

出版信息

Eur J Pediatr Surg. 2004 Dec;14(6):418-21. doi: 10.1055/s-2004-821138.

DOI:10.1055/s-2004-821138

PMID:15630645

Abstract

BACKGROUND

Fournier's gangrene is uncommon in childhood and little is known about the disease in this age group.

METHOD

A retrospective review was carried out of neonates and infants treated for Fournier's gangrene over a period of 16 years.

RESULTS

Twelve neonates and infants aged 5 days-3 months (median 3 weeks) were treated in our hospital. The precipitating cause was omphalitis in 7 babies, strangulated inguinal hernia in 2 and in 3 babies there was no identifiable cause. Gram-negative bacteria were cultured in 3 patients, but in most the culture was sterile. Treatment consisted of debridement of devitalised tissue and administration of broad-spectrum antibiotics. Primary closure was achieved in 1 baby and secondary closure in 2 others. In 7 babies the wound contracted rapidly and healed. There was no mortality.

CONCLUSION

Fournier's gangrene in neonates and infants in our environment is largely preventable. Early debridement and appropriate antibiotics give good results.

摘要

背景

福尼尔坏疽在儿童中并不常见，对于这个年龄组的该疾病了解甚少。

方法

对16年间接受福尼尔坏疽治疗的新生儿和婴儿进行回顾性研究。

结果

我院治疗了12例年龄在5天至3个月（中位年龄3周）的新生儿和婴儿。诱发原因在7例婴儿中是脐炎，2例是绞窄性腹股沟疝，3例未发现明确病因。3例患者培养出革兰氏阴性菌，但大多数培养结果为无菌。治疗包括清除失活组织和使用广谱抗生素。1例婴儿实现一期缝合，另外2例二期缝合。7例婴儿伤口迅速收缩并愈合。无死亡病例。