du Toit D F, Pretorius C F, Esterhuizen N, du Toit L B
S Afr Med J. 1985 Nov 9;68(10):760-2.
Three patients with gas gangrene of the lower limbs are presented. In 2 of the 3 patients gas gangrene developed after lower-limb amputation, indications for amputation being atherosclerotic and diabetic gangrene. In the third patient associated leukaemia was diagnosed. All 3 patients presented with the typical clinical manifestations of gas gangrene. Clostridium perfringens was isolated from the affected leg in each patient. The current application of surgery and hyperbaric oxygen therapy in the treatment of gas gangrene is discussed.
本文介绍了3例下肢气性坏疽患者。3例患者中有2例在下肢截肢后发生气性坏疽，截肢指征为动脉粥样硬化性和糖尿病性坏疽。第3例患者被诊断为合并白血病。所有3例患者均表现出气性坏疽的典型临床表现。从每位患者受影响的腿部分离出产气荚膜梭菌。本文讨论了手术和高压氧疗法在气性坏疽治疗中的当前应用。
