走马疳（坏疽性口炎）：营养在治疗中的作用
Cancrum Oris (Noma): The Role of Nutrition in Management.
作者信息
Weledji Elroy Patrick, Njong Sylvia
机构信息
Department of Surgery, Faculty of Health Sciences, University of Buea, Cameroon.
出版信息
J Am Coll Clin Wound Spec. 2016 Aug 12;7(1-3):50-52. doi: 10.1016/j.jccw.2016.08.003. eCollection 2015 Dec.
Abstract
Cancrum oris (noma) is caused by the spirochete in association with anaerobic bacteria, commonly a member of the fusobacteria. The disease occurs in deprived and undernourished individuals with poor hygiene. We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortality from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important.
摘要
走马疳（坏疽性口炎）由螺旋体与厌氧菌共同引起，常见的厌氧菌为梭杆菌属的一种。该疾病发生于卫生条件差且贫困、营养不良的个体。我们报告了撒哈拉以南非洲一名2岁儿童临床诊断为走马疳的病例，该病例通过伤口护理和肠外营养进行保守治疗。由于走马疳致死的潜在因素和原因是营养不良导致的免疫抑制，积极营养支持或肠外营养在走马疳治疗中的作用极其重要。
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