Klebanovas J, Barauskas V, Cekanauskas E, Malcius D, Grinkeviciute D
Department of Pediatric Surgery, Kaunas Medical University Hospital, Kaunas, Lithuania.
Eur J Pediatr Surg. 2005 Apr;15(2):120-4. doi: 10.1055/s-2004-830348.
We present here two cases of purpura fulminans (PF), a rare complication of septicemia. Its fulminant course usually prompt the surgeon into quick and aggressive action. Although sometimes it may lead to mutilation of a patient, nevertheless it is a life-saving procedure. A decision to amputate all four extremities is very difficult, both for the parents and for the surgeon. Therefore one must be absolutely sure that this management strategy is the only way to save the patient's life. Two cases of meningococcal and staphylococcal sepsis treatment are described in this paper. The surgical approach is discussed together with a review of the literature.
我们在此呈现两例暴发性紫癜（PF），这是败血症的一种罕见并发症。其暴发性病程通常促使外科医生迅速采取积极行动。尽管有时这可能导致患者肢体残缺，但这仍是一种挽救生命的手术。对父母和外科医生而言，决定截去患者的四肢都非常困难。因此，必须绝对确定这种治疗策略是挽救患者生命的唯一途径。本文描述了两例脑膜炎球菌性和葡萄球菌性败血症的治疗情况。同时结合文献回顾对手术方法进行了讨论。
