Bähr R, Koslowski L
Helv Chir Acta. 1977 Jun;44(3):431-8.
Gas gangrene which is caused by gram-negativ rod-shaped bacilli appeared longtime in war only. Now an increase of infection is noted by heavy traffic accidents. Reporting about 18 patients and treatment results we suggest for therapeutic proceeding: excision of wounds without primary amputation followed by hyperbaric oxygenation. In our opinion, surgical intervention and hyperbaric oxygenation should not be rival but complementary treatment of equal value.
气性坏疽由革兰氏阴性杆状杆菌引起,以往仅在战争时期长期出现。如今,在严重交通事故后感染有所增加。报告18例患者及治疗结果后,我们建议如下治疗步骤:不进行一期截肢,对伤口进行清创,随后进行高压氧治疗。我们认为,手术干预和高压氧治疗不应相互竞争,而应是同等重要的互补性治疗。