[气性坏疽。瑞士事故保险公司1963 - 1975年档案]

[Gas gangrene. The files of the Swiss Accident Insurance Company 1963-1975].

作者信息

Stamm B, Ganzoni N

出版信息

Schweiz Med Wochenschr. 1978 Jun 10;108(23):847-53.

Abstract

The clinical histories of 28 cases registered as gas gangrene by the Swiss National Accident Insurance (Schweizerische Unfallversicherungsanstalt) from 1963 to 1975 are reviewed. According to the classification of Altemeier (1. gas gangrene, 2. clostridial cellulitis, 3. simple contamination of a wound by Clostridium, and 4. gaseous infection without Clostridium) only 5 cases were assignable to group one (1 survivor), 2 cases to group two, 9 to group three and 9 to group four. Typical cases from each group are discussed to illustrate the advantages of this classification, the dangers of treatment based on wrong diagnosis, and the necessary prophylaxis. The more serious prognosis in gas gangrene in comparison to the other groups is emphasized.

摘要

对瑞士国家事故保险机构（瑞士意外保险协会）在1963年至1975年间登记为气性坏疽的28例病例的临床病史进行了回顾。根据阿尔特迈尔的分类（1. 气性坏疽，2. 梭菌性蜂窝织炎，3. 伤口单纯被梭菌污染，4. 无梭菌的气体感染），只有5例可归入第一组（1例存活），2例归入第二组，9例归入第三组，9例归入第四组。讨论了每组的典型病例，以说明这种分类的优点、基于错误诊断进行治疗的危险性以及必要的预防措施。强调了气性坏疽与其他组相比预后更严重。