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題 名 | 福耳尼埃氏壞疽和高壓氧治療=Adjuvant Effects of Hyperbaric Oxygen Therapy in Fournier's Gangrene |
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作 者 | 陳怡豪; 林燈賦; | 書刊名 | 國防醫學 |
卷 期 | 31:4 2000.10[民89.10] |
頁 次 | 頁319-326 |
分類號 | 418.992、418.992 |
關鍵詞 | 福耳尼埃氏壞疽; 高壓氧治療; Fournier's gangrene; Hyperbaric oxygen therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 福耳尼埃氏壞疽(Fournier's gangrene)是一個病程進展非常快的疾病。可造成病患會陰部、生殖部或肛門周圍的壞死性筋膜炎,並快速地造成廣泛性的表皮組織、皮下筋膜、皮下脂肪、深筋膜的壞死。嚴重時,甚至會沿著深筋膜進而侵犯至身體其他部位,如:前腹壁或大腿等,都可能會出現嚴重壞死的現象,且有很高的死亡率,是個令臨床醫師提心吊膽的急症。而近四十年來,高壓氧治療已經成功的使用在許多疾病,諸如放射線造成的組織壞死(radiation-induced tissue necrosis)、頑固性骨髓炎(refractory osteomyelitis)、氣壞疽(gas gangrene)、問題傷口合併細菌感染等,均有很好的輔助治療效果,它能提供受傷的組織擁有比一般情況下更高的氧分壓,以增加受傷組織修復及對抗外來的感染。所以在福耳尼埃氏壞疽這種嚴重的壞死性疾病,除使用傳統的外科清創及內科抗生素治療外,使用高壓氧作為輔助治療,不但可較容易控制疾病本身,更可以增加病人存活的機會。 |
英文摘要 | Fournier's gangrene is a rapidly progressive bacterial infected disease. This disease is characterized by necrotizing fasciitis in surrounding areas of perineum, external genitals and anus. The extensive tissue necrosis can involve the superficial connective tissues, subcutaneous fat and fascia, as well as deep fascia. Moreover, this infection can spread along subdermal fascia planes to invasive into deep tissues, including anterior abdominal wall and thigh. The overall mortality of severe Fournier's gangrene remains high despite modern antimicrobial therapy and improved surgical techniques. Recently, hyperbaric oxygen therapy has been successfully used to treat many medical problems, such as radiation-induced tissue necrosis、refractory osteomyelitis、gas gangrene、chronic problem wound with mixed infection, etc The adjuvant treatment of hyperbaric oxygen provides ischemic tissues more oxygen than ordinal condition. Therefore, ischemic tissues, after avoiding the hypoxic condition, can increase the repair of injured tissues and against infection. In addition to surgical debridement and medical antibiotics treatment, hyperbaric oxygen therapy may increase the overall survival rate and control the severity of Fournier's gangrene. |
本系統中英文摘要資訊取自各篇刊載內容。