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一名异位妊娠患者子宫穿孔后发生严重梭菌感染。

Severe clostridium infection following perforation of the uterus in a patient with an ectopic pregnancy.

作者信息

Knitza R, Wisser J, Meissner K, Terruhn V, Remberger K

出版信息

Arch Gynecol. 1987;240(3):191-4. doi: 10.1007/BF00207715.

DOI:10.1007/BF00207715
PMID:2884930
Abstract

Twenty-eight hours after CO2 insufflation and curettage in a 26 year old, haemolysis, jaundice and anuria developed. As an ectopic pregnancy was also suspected, a diagnostic laparoscopy was done and was followed by a hysterectomy and left salpingo-oophorectomy before Clostridium perfringens was grown on culture. The survival of the patient despite clostridial infection is probably due to immediate surgical treatment and intensive post-operative care.

摘要

一名26岁女性在二氧化碳气腹和刮宫术后28小时出现溶血、黄疸和无尿。由于怀疑同时存在异位妊娠,遂进行了诊断性腹腔镜检查,随后进行了子宫切除术和左侧输卵管卵巢切除术,之后在培养物中培养出产气荚膜梭菌。尽管发生了梭菌感染,患者仍存活,这可能得益于及时的手术治疗和术后的精心护理。

相似文献

1
Severe clostridium infection following perforation of the uterus in a patient with an ectopic pregnancy.一名异位妊娠患者子宫穿孔后发生严重梭菌感染。
Arch Gynecol. 1987;240(3):191-4. doi: 10.1007/BF00207715.
2
Clostridium perfringens septicemia. A case report.产气荚膜梭菌败血症。病例报告。
Nebr Med J. 1996 Aug;81(8):279-80; discussion 281.
3
Rupture of a gravid bicornuate uterus in a primigravida associated with clostridial and bacteroides infection.初产妇双角妊娠子宫破裂合并梭菌及拟杆菌感染。
J Reprod Med. 1978 Sep;21(3):185-8.
4
[Asherman's syndrome].[阿谢曼综合征]
Josanpu Zasshi. 1981 Aug;35(8):636-8.
5
Clostridium perfringens sepsis following a molar pregnancy.产气荚膜梭菌引起的葡萄胎败血症。
Am J Obstet Gynecol. 2014 Jan;210(1):e13-4. doi: 10.1016/j.ajog.2013.09.045. Epub 2013 Oct 2.
6
Clostridium welchii infection following amniocentesis: a case report and review of the literature.羊膜腔穿刺术后韦氏梭菌感染:一例病例报告及文献复习
Prenat Diagn. 2002 Sep;22(9):783-5. doi: 10.1002/pd.409.
7
Perforation of the uterus causing rupture in subsequent pregnancy.
Ir J Med Sci. 1977 Jun;146(6):175-8. doi: 10.1007/BF03030955.
8
[Simultaneous occurrence of actinomycosis of the small pelvis and perforation caused by IUD].[盆腔放线菌病与宫内节育器所致穿孔同时发生]
Orv Hetil. 1978 Dec 17;119(51):3141-2.
9
[Cervical pregnancy with twin fetuses (author's transl)].
Geburtshilfe Frauenheilkd. 1980 Apr;40(4):358-61. doi: 10.1055/s-2008-1039322.
10
[Unusual causes of hemoperitoneum of genital origin].[生殖器源性腹腔积血的罕见病因]
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本文引用的文献

1
The diagnosis and treatment of gas gangrene.气性坏疽的诊断与治疗。
Surg Clin North Am. 1963 Apr;43:511-7. doi: 10.1016/s0039-6109(16)36943-2.
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Septic abortion with hemoglobinuria and renal insufficiency with special reference to Clostridium welchii infection.
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Severe necrotizing soft-tissue infections. Multiple disease entities requiring a common approach.严重坏死性软组织感染。多种疾病实体需要采用共同的治疗方法。
JAMA. 1981 Oct 9;246(15):1717-21.
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[Clostridium infections in internal medicine].[内科中的梭菌感染]
Internist (Berl). 1981 Aug;22(8):508-13.
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Significance of clostridial bacteremia.梭菌属菌血症的意义
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Clostridium infection in mother and infant.母婴梭菌感染
Am J Dis Child. 1980 Dec;134(12):1175-6. doi: 10.1001/archpedi.1980.02130240055018.
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Ten years of experience in the treatment of gas gangrene with hyperbaric oxygen.高压氧治疗气性坏疽十年经验。
Surg Gynecol Obstet. 1972 Apr;134(4):579-85.
8
Anaerobic microflora of the cervix in healthy women.健康女性宫颈的厌氧微生物区系
Am J Obstet Gynecol. 1973 Dec 15;117(8):1053-5. doi: 10.1016/0002-9378(73)90753-9.
9
Hyperbaric oxygen in the management of clostridial myonecrosis (gas gangrene).高压氧在梭状芽孢杆菌性肌坏死(气性坏疽)治疗中的应用
Clin Orthop Relat Res. 1973 Oct(96):271-6.
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Clostridial septicemia.
Cancer. 1972 Jan;29(1):215-21. doi: 10.1002/1097-0142(197201)29:1<215::aid-cncr2820290132>3.0.co;2-c.