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[福尼尔坏疽。32例病例分析]

[Fournier's gangrene. Analysis of 32 cases].

作者信息

el Khader K, el Fassi J, Nouri M, Ibn Attya A, Hachimi M, Lakrissa A

机构信息

Service d'Urologie B, Hôpital Avicenne, Rabat, Maroc.

出版信息

J Urol (Paris). 1997;103(1-2):32-4.

PMID:9765777
Abstract

A series of 32 treated cases of Fournier's gangrene is analysed. All patients were male, their age ranged from 19 to 89 years. In 16 cases (50%) the aetiology of gangrene was urethral (37.5%), anorectal (12.5%) and in the 16 remaining cases (50%) there was no identifiable cause. Mortality was high (28%) despite broad spectrum antibiotics and aggressive surgical debridement. This mortality was essentially associated to advanced age, debilitated state, delay in diagnosis and toxi infectious context. The average hospital stay was 26.5 days.

摘要

对32例接受治疗的福尼尔坏疽病例进行了分析。所有患者均为男性,年龄在19岁至89岁之间。16例(50%)坏疽病因是尿道(37.5%)、肛门直肠(12.5%),其余16例(50%)病因不明。尽管使用了广谱抗生素并积极进行手术清创,但死亡率仍很高(28%)。这种死亡率主要与高龄、身体虚弱、诊断延迟和中毒感染情况有关。平均住院时间为26.5天。

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