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老年患者痔疮结扎术后感染风险。

Risk of infection in an elderly patient following hemorrhoid ligation.

机构信息

Department of Laboratory Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Clinical Medicine, Chongqing Medical University, Chongqing, China.

出版信息

J Int Med Res. 2020 Oct;48(10):300060520963983. doi: 10.1177/0300060520963983.

DOI:10.1177/0300060520963983
PMID:33107774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7604989/
Abstract

Tetanus after gastrointestinal surgery is an extremely rare but very dangerous disease caused by infection with . Tetanus can occur due to bacterial infection during surgery or dressing change, or the bacteria may exist in the patient's intestines and be discharged with feces. This report describes a 71-year-old woman who developed tetanus 3 days after a hemorrhoidal ligation. Clinicians need to be aware of symptoms of infection that might present in patients who have undergone gastrointestinal procedures.

摘要

胃肠道手术后破伤风极为罕见,但极其危险,由感染破伤风梭菌引起。手术或换药过程中细菌感染,或患者肠道中存在细菌并随粪便排出,都可能导致破伤风。本报告描述了一位 71 岁女性,在痔结扎术后 3 天发生破伤风。接受过胃肠道手术的患者可能出现感染症状,临床医生需要对此保持警惕。

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本文引用的文献

1
Forgotten pathogen: tetanus after gastrointestinal surgery.被遗忘的病原体:胃肠道手术后的破伤风
BMJ Case Rep. 2019 Aug 28;12(8):e229701. doi: 10.1136/bcr-2019-229701.
2
Tetanus presenting primarily as periocular discomfort in a patient who underwent surgery for sleep apnea: A case report and brief literature review.破伤风主要表现为一名接受睡眠呼吸暂停手术患者的眼周不适:病例报告及简要文献综述
Medicine (Baltimore). 2019 Jun;98(23):e15652. doi: 10.1097/MD.0000000000015652.
3
Tetanus.破伤风。
Lancet. 2019 Apr 20;393(10181):1657-1668. doi: 10.1016/S0140-6736(18)33131-3. Epub 2019 Mar 29.
4
The landscape of vaccines in China: history, classification, supply, and price.中国疫苗的概况:历史、分类、供应和价格。
BMC Infect Dis. 2018 Oct 4;18(1):502. doi: 10.1186/s12879-018-3422-0.
5
Postoperative tetanus after laparoscopic obturator hernia repair for strangulated ileus: report of a case.腹腔镜闭孔疝修补术治疗绞窄性肠梗阻后发生的术后破伤风:病例报告。
Surg Today. 2012 May;42(5):470-4. doi: 10.1007/s00595-011-0023-6. Epub 2011 Oct 27.
6
Acquiring tetanus after hemorrhoid banding and other gastrointestinal procedures.痔疮套扎术及其他胃肠道手术后发生破伤风。
J Gastrointest Surg. 2007 Apr;11(4):515-9. doi: 10.1007/s11605-006-0079-6.
7
Postsurgical tetanus.术后破伤风
Can J Surg. 2004 Oct;47(5):375-9.
8
Impact of improved vaccination programme and intensive care facilities on incidence and outcome of tetanus in southern Vietnam, 1993-2002.1993 - 2002年越南南部改善疫苗接种计划和重症监护设施对破伤风发病率及转归的影响
Trans R Soc Trop Med Hyg. 2004 Nov;98(11):671-7. doi: 10.1016/j.trstmh.2004.01.008.
9
TETANUS ARISING FROM GANGRENOUS UNPERFORATED SMALL INTESTINE.坏疽性未穿孔小肠引起的破伤风
JAMA. 1964 Mar 14;187:856-8. doi: 10.1001/jama.1964.03060240064021.
10
Postoperative tetanus: a case report.术后破伤风:一例病例报告。
CMAJ. 2000 Sep 5;163(5):571-3.