Kizer K W, Ogle L C
Ann Emerg Med. 1981 Jun;10(6):307-11. doi: 10.1016/s0196-0644(81)80121-7.
Nontraumatic gas gangrene is extremely rare. It usually occurs following ulceration or perforation of an abdominal or pelvic viscus in persons having impaired host immune defenses. A fatal case of nontraumatic Clostridium septicum septicemia and myonecrosis in an elderly diabetic man with a perforated colon carcinoma is presented. The case illustrates the occult manner in which such cases typically present and the fulminant course of this disease. The need for rapid diagnosis and the current recommended treatment of gas gangrene are discussed.
非创伤性气性坏疽极为罕见。它通常发生在宿主免疫防御受损的患者腹部或盆腔脏器溃疡或穿孔之后。本文报告了一例老年糖尿病男性结肠癌穿孔后发生非创伤性败血梭菌败血症和肌坏死的致死病例。该病例说明了此类病例典型的隐匿性表现方式以及这种疾病的暴发性病程。文中还讨论了快速诊断的必要性和气性坏疽目前推荐的治疗方法。
