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福尼尔坏疽:2例报告

Fournier's Gangrene: Report of 2 Cases.

作者信息

Hota Prasan Kumar

机构信息

Department of Surgery, Institute of Medical Sciences & SUM Hospital, SOA University, K-8, Kalinga Nagar, Orissa Bhubaneswar 751030, India.

出版信息

Case Rep Emerg Med. 2012;2012:984195. doi: 10.1155/2012/984195. Epub 2012 Feb 9.

Abstract

Fournier's gangrene is a very serious surgical emergency seen all over the world. With the newer advancement of surgical techniques and critical care medicine, the mortality and morbidity of this disease has come down significantly over a period of time. An early diagnosis including evaluation of predisposing and etiological factors, metabolic and physiological parameters with prompt resuscitation, aggressive surgical debridement, broad-spectrum antibiotic coverage, and continuous monitoring of all the parameters is essential for a good outcome, therefore reducing the high mortality and morbidity of this condition. In this study, we report 2 different cases of Fournier gangrene. Our first case was a young, nondiabetic, and without any multiorgan failure, who was managed successfully with good outcome. The second case was a 67-year-old man with diabetes and multiorgan dysfunction with extensive gangrene at presentation, who recovered well, but with a stormy postoperative period.

摘要

福尼尔坏疽是一种在全球范围内都可见的非常严重的外科急症。随着外科技术和重症医学的新进展,一段时间以来,这种疾病的死亡率和发病率已显著下降。早期诊断,包括评估诱发因素和病因、代谢及生理参数,并迅速进行复苏、积极的外科清创、广谱抗生素覆盖以及持续监测所有参数,对于取得良好预后至关重要,从而降低这种病症的高死亡率和发病率。在本研究中,我们报告了2例不同的福尼尔坏疽病例。我们的首例病例是一名年轻、非糖尿病且无任何多器官功能衰竭的患者,成功得到治疗且预后良好。第二例病例是一名67岁的男性糖尿病患者,就诊时伴有多器官功能障碍和广泛坏疽,恢复良好,但术后经历了波折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc87/3542918/6cc7b8fb1919/CRIM.EM2012-984195.001.jpg

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