Oosterlee J, McGeehan D F, Robbs J V
S Afr Med J. 1984 Jul 28;66(4):147-50.
If they do not immediately lead to death, severe injuries of the pelvis and perineum are frequently complicated by serious invasive infection. This results in a considerable number of late deaths. Adherence to a strict treatment protocol aimed at the prevention of septic complications has undoubtedly reduced the mortality rate related to these injuries. The different aspects of our treatment protocol are outlined, and comprise: (i) antibiotic prophylaxis; (ii) assessment under general anaesthesia; (iii) radical surgical debridement; (iv) diversion of the faecal stream; (v) conservative management of urethral injuries; and (vi)frequent revision of the wounds at 24 - 48-hour intervals. Eight consecutive patients in whom septic complications were successfully prevented are reported on.
如果骨盆和会阴的严重损伤没有立即导致死亡，常常会因严重的侵袭性感染而引发并发症。这会导致相当数量的晚期死亡。坚持旨在预防脓毒症并发症的严格治疗方案无疑降低了与这些损伤相关的死亡率。本文概述了我们治疗方案的不同方面，包括：（i）抗生素预防；（ii）全身麻醉下评估；（iii）根治性手术清创；（iv）粪便转流；（v）尿道损伤的保守处理；以及（vi）每隔24至48小时对伤口进行频繁检查。报告了连续8例成功预防脓毒症并发症的患者。
