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肛门直肠脓肿后发生破伤风。

Tetanus after anorectal abscess.

作者信息

Myers K J, Heppell J, Bode W E, Culp C E, Thurber D L, Van Scoy R E

出版信息

Mayo Clin Proc. 1984 Jun;59(6):429-30. doi: 10.1016/s0025-6196(12)61468-2.

DOI:10.1016/s0025-6196(12)61468-2
PMID:6727433
Abstract

As illustrated by this case report, tetanus can occur as a complication of anorectal surgical procedures or abscesses just as it can in other wounds. A synergistic infection of the perineum occurred in a 62-year-old man 8 days after drainage of an anorectal abscess. He was treated with vigorous debridement and antibiotics and was given tetanus prophylaxis. The next day, tetanus developed, presumably from the original abscess. The patient recovered after aggressive therapy, including muscle relaxants and ventilatory support.

摘要

正如本病例报告所示,破伤风可作为肛肠外科手术或脓肿的并发症出现,就如同它在其他伤口中一样。一名62岁男性在肛肠脓肿引流8天后发生了会阴部协同感染。他接受了积极的清创和抗生素治疗,并进行了破伤风预防。第二天,破伤风发作,推测源于最初的脓肿。患者在包括肌肉松弛剂和通气支持在内的积极治疗后康复。

相似文献

1
Tetanus after anorectal abscess.肛门直肠脓肿后发生破伤风。
Mayo Clin Proc. 1984 Jun;59(6):429-30. doi: 10.1016/s0025-6196(12)61468-2.
2
Supralevator abscess: diagnosis and treatment.肛提肌上脓肿:诊断与治疗
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Anorectal abscess during pregnancy.
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[Complicated anorectal abscesses and fistulae].
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Anorectal prlblems: experience with primary fistulectomy for anorectal abscess, a report of 1,000 cases.
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High intramuscular anorectal abscess.高位肌间直肠周围脓肿
Arch Surg. 1978 Jul;113(7):891-2. doi: 10.1001/archsurg.1978.01370190113024.
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Anorectal abscesses: need for accurate anatomical localization of the disease.肛门直肠脓肿:疾病精确解剖定位的必要性。
Clin Anat. 1997;10(4):239-44. doi: 10.1002/(SICI)1098-2353(1997)10:4<239::AID-CA4>3.0.CO;2-N.
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Does adjuvant antibiotic treatment after drainage of anorectal abscess prevent development of anal fistulas? A randomized, placebo-controlled, double-blind, multicenter study.引流后辅助抗生素治疗是否可预防肛门直肠脓肿发展为肛瘘?一项随机、安慰剂对照、双盲、多中心研究。
Dis Colon Rectum. 2011 Aug;54(8):923-9. doi: 10.1097/DCR.0b013e31821cc1f9.
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Prolonged catheter drainage of anorectal abscesses as a preliminary to elective anal fistulotomy.将肛门直肠脓肿进行长时间的导管引流作为择期肛瘘切开术的前期准备。
Med J Aust. 1972 Apr 15;1(16):817-8. doi: 10.5694/j.1326-5377.1972.tb47088.x.
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Anorectal problems: treatment of abscesses.
Dis Colon Rectum. 1975 Nov-Dec;18(8):650-1. doi: 10.1007/BF02604267.

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