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软组织感染的临床表现及其管理：一项100例病例的研究。

Clinical Presentation of Soft-tissue Infections and its Management: A Study of 100 Cases.

作者信息

Singh Baldev, Singh Sukha, Khichy Sudhir, Ghatge Avinash

机构信息

Department of Surgery, Government Medical College, Amritsar, Punjab, India.

出版信息

Niger J Surg. 2017 Jul-Dec;23(2):86-91. doi: 10.4103/njs.NJS_26_16.

DOI:10.4103/njs.NJS_26_16
PMID:29089730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5649435/
Abstract

BACKGROUND

Soft-tissue infections vary widely in their nature and severity. A clear approach to the management must allow their rapid identification and treatment as they can be life-threatening.

OBJECTIVE

Clinical presentation of soft-tissue infections and its management.

MATERIALS AND METHODS

A prospective study based on 100 patients presenting with soft-tissue infections was done. All the cases of soft-tissue infections were considered irrespective of age, sex, etiological factors, or systemic disorders. The findings were evaluated regarding the pattern of soft-tissue infections in relation to age and sex, clinical presentation, complications, duration of hospital stay, management, and mortality.

RESULTS

The most commonly involved age group was in the range of 41-60 years with male predominance. Abscess formation (45%) was the most common clinical presentation. Type 2 diabetes mellitus was the most common associated comorbid condition. was the most common culture isolate obtained. The most common complication seen was renal failure. Patients with surgical site infections had maximum duration of stay in the hospital. About 94% of the cases of soft-tissue infections were managed surgically. Mortality was mostly encountered in the cases of complications of cellulitis.

CONCLUSION

Skin and soft-tissue infections are among the most common infections encountered by the emergency physicians. Ignorance, reluctance to treatment, economic constraints, and illiteracy delay the early detection and the initiation of proper treatment. Adequate and timely surgical intervention in most of the cases is of utmost importance to prevent the complications and reduce the mortality.

摘要

背景

软组织感染的性质和严重程度差异很大。由于软组织感染可能危及生命，因此明确的管理方法必须能够实现对其快速识别和治疗。

目的

软组织感染的临床表现及其管理。

材料与方法

对100例软组织感染患者进行了前瞻性研究。所有软组织感染病例均纳入研究，不分年龄、性别、病因或全身疾病。对软组织感染的模式与年龄、性别、临床表现、并发症、住院时间、管理和死亡率等方面的研究结果进行了评估。

结果

最常受累的年龄组为41-60岁，男性居多。脓肿形成（45%）是最常见的临床表现。2型糖尿病是最常见的合并症。是最常见的培养分离菌。最常见的并发症是肾衰竭。手术部位感染的患者住院时间最长。约94%的软组织感染病例接受了手术治疗。死亡率大多发生在蜂窝织炎并发症病例中。

结论

皮肤和软组织感染是急诊医生最常遇到的感染之一。无知、不愿治疗、经济限制和文盲状态会延迟早期发现和适当治疗的启动。在大多数情况下，充分及时的手术干预对于预防并发症和降低死亡率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2150/5649435/8a13c72eb267/NJS-23-86-g009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2150/5649435/8a13c72eb267/NJS-23-86-g009.jpg
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