Jandík J, Vokůrka J
Chirurgické oddĕlení, Oblastní nemocnice Rychnov nad Knĕznou.
Rozhl Chir. 2009 Jan;88(1):27-31.
The authors present a case review of a patient with a life threatening infectious complication after a routine operation with an accent on urgent diagnosis and treatment. A sepsis with an extensive necrotizing anaerobic infection of the surgical wound with a destruction of abdominal wound developed in 48 hours after a cholecystectomia. The patient status required repeatedly an extensive necrectomy with a hospitalization on an intensive care unit with a necessity of an arteficial pulmonary ventilation and a circulation support. A resulting large defect of an abdominal wall was fully healed by using a vacuum sealing treatment and a dermoepidermal skin graft.
作者介绍了一例患者的病例回顾，该患者在常规手术后出现危及生命的感染并发症，重点是紧急诊断和治疗。胆囊切除术后48小时，手术伤口发生败血症，伴有广泛的坏死性厌氧菌感染，腹部伤口破溃。患者的病情需要反复进行广泛的坏死组织切除术，并在重症监护病房住院，需要进行人工肺通气和循环支持。通过使用负压封闭引流治疗和真皮表皮皮肤移植，腹壁的巨大缺损得以完全愈合。
