Corey E C
Wright State University Department of Emergency Medicine, Kettering, Ohio 45429.
J Emerg Med. 1991 Nov-Dec;9(6):431-6. doi: 10.1016/0736-4679(91)90214-z.
Gas gangrene is a well-recognized serious life and limb threatening emergency. In certain patients the source of this infection may be nontraumatic. We present an illustrative case of nontraumatic gas gangrene caused by Clostridium Septicum and review the literature regarding its emergency management. Early recognition of nontraumatic gas gangrene is crucial to reduction of mortality and morbidity. Emergent therapy requires resuscitation, surgical consultation, pharmacological therapy, and consideration of hyperbaric oxygen therapy. Early institution of a multifactorial approach to treatment may significantly reduce the mortality and morbidity of this life threatening disease.
气性坏疽是一种公认的严重危及生命和肢体的紧急情况。在某些患者中，这种感染的来源可能是非创伤性的。我们展示了一例由败血梭菌引起的非创伤性气性坏疽的典型病例，并回顾了关于其紧急处理的文献。早期识别非创伤性气性坏疽对于降低死亡率和发病率至关重要。紧急治疗需要进行复苏、外科会诊、药物治疗，并考虑高压氧治疗。早期采用多因素治疗方法可能会显著降低这种危及生命疾病的死亡率和发病率。
