Baltzer J, Geissler K, Gloning K P, Schramm T, Haider M
I. Frauenklinik der Universität München.
Geburtshilfe Frauenheilkd. 1989 Nov;49(11):1010-3. doi: 10.1055/s-2008-1036858.
Clostridium perfringens infections in the puerperal period are rare. A 22-year old patient, after caesarean section at another hospital, was admitted to our clinic showing clinical signs of haemolysis, slight uraemia, a crepitation of tissue and sonographical signs of air bubble formation in the uterus. Since clostridium perfringens infections show a high mortality rate, early operative measures under high-dose Penicillin treatment are indicated. In this case, hysterectomy and salpingectomy were performed. Both ovaries were unaffected and could be conserved. In addition, a peritoneal lavage was done. Our patient was discharged as cured after a postoperative course without any complications. There is no evidence in the literature for the efficacy of either antitoxin treatment or a high oxygen therapy.
产后产气荚膜梭菌感染较为罕见。一名22岁患者在另一家医院行剖宫产术后，因出现溶血、轻度尿毒症、组织捻发音及子宫内气泡形成的超声征象而入住我院。由于产气荚膜梭菌感染死亡率较高，故需在大剂量青霉素治疗下行早期手术治疗。该病例行子宫切除术和输卵管切除术，双侧卵巢未受影响得以保留。此外，还进行了腹腔灌洗。患者术后恢复顺利，无任何并发症，治愈出院。文献中尚无抗毒素治疗或高氧疗法有效的证据。
