Hiatt J R, Kuchenbecker S L, Winston D J
Surgery. 1986 Nov;100(5):912-5.
Perirectal and perineal infections represent a life-threatening complication of hematologic diseases associated with granulocytopenia. Early and aggressive surgical management is essential. This should include hemodynamic support and monitoring, broad-spectrum antibiotics, wide surgical debridement, and a totally diverting colostomy. The prognosis of these infections parallels that of the underlying hematologic disease. Three patients seen on a university surgical service whose clinical management and course underscore these principles are presented.
直肠周围和会阴感染是与粒细胞减少相关的血液系统疾病的一种危及生命的并发症。早期积极的手术治疗至关重要。这应包括血流动力学支持与监测、广谱抗生素、广泛的手术清创以及完全转流性结肠造口术。这些感染的预后与基础血液系统疾病的预后相似。本文介绍了在大学外科接受治疗的三名患者，他们的临床管理和病程突出了这些原则。
