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孤立性会阴烧伤挛缩伴慢性肠梗阻:1例病例报告

Isolated perineal burn contractures presenting with chronic intestinal obstruction: a case report.

作者信息

Oladele A O, Olabanji J K, Awe O O

机构信息

Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.

出版信息

Ann Burns Fire Disasters. 2009 Dec 31;22(4):214-6.

PMID:21991186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3188175/
Abstract

Isolated perineal burns are rare and so are perineal contractures. Perineal contractures may however lead to intestinal obstruction, which is a more life-threatening complication. A six-yr-old boy presented with chronic intestinal obstruction following isolated perineal contracture due to a deliberate perineal burn injury to treat a febrile convulsion. The obstruction was successfully relieved using local flaps to release the perineal contracture. There is a need for meticulous care in perineal burns to avoid perineal contractures, which may result in chronic intestinal obstruction.

摘要

孤立性会阴部烧伤很少见,会阴部挛缩也同样少见。然而,会阴部挛缩可能导致肠梗阻,这是一种更具生命威胁的并发症。一名6岁男孩因故意会阴部烧伤以治疗高热惊厥,出现了孤立性会阴部挛缩后的慢性肠梗阻。通过局部皮瓣松解会阴部挛缩,梗阻得以成功解除。会阴部烧伤需要精心护理,以避免会阴部挛缩,因为这可能导致慢性肠梗阻。

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本文引用的文献

1
Extrinsic post burn peri-anal contracture leading to sub acute intestinal obstruction: A case report.烧伤后外因性肛门周围挛缩导致亚急性肠梗阻:病例报告
Cases J. 2008 Aug 21;1(1):117. doi: 10.1186/1757-1626-1-117.
2
Genital and perineal burns in children: 10 years of experience at a major burn center.
J Pediatr Surg. 2002 Jan;37(1):99-103. doi: 10.1053/jpsu.2002.29437.
3
Burns to the genitalia and the perineum.
J Urol. 1998 Feb;159(2):418-9. doi: 10.1016/s0022-5347(01)63937-5.
4
The management of perineal contractures in children with burns.儿童烧伤后会阴挛缩的处理
J Burn Care Rehabil. 1994 May-Jun;15(3):256-9. doi: 10.1097/00004630-199405000-00010.
5
Management of burn contractures of the perineum.会阴烧伤挛缩的处理
Plast Reconstr Surg. 1983 Dec;72(6):837-42. doi: 10.1097/00006534-198312000-00019.
6
Management of pediatric perineal and genital burns: twenty-year review.小儿会阴及生殖器烧伤的管理:二十年回顾
J Burn Care Rehabil. 1990 Jul-Aug;11(4):308-11. doi: 10.1097/00004630-199007000-00007.
7
Gluteal pouching: a complication of perineal burn scar contracture. A case report.
J Burn Care Rehabil. 1990 Mar-Apr;11(2):137-9. doi: 10.1097/00004630-199003000-00008.