查詢結果分析
相關文獻
- Management of Fournier's Gangrene--Experience with 57 Patients
- 壞死性筋膜炎
- Prognostic Factors and Strategy of Treatment in Fournier's Gangrene: A 12-Year Retrospective Study
- Prompt Recognition of Necrotizing Fasciitis in a Newborn
- Necrotizing Fasciitis Caused by Perforated Hollow Viscus--Case Report
- 壞死性筋膜炎
- 壞死性筋膜炎(Necrotizing Fasciitis)
- 口腔顎顏面外科領域之致命性併發症--長期濫用類固醇併發壞死性筋膜炎
- 白血病合併顏面嚴重血腫與壞死性筋膜炎--病例報告
- Delayed Diagnosis of Necrotizing Fasciitis in the Lower Extremity--A Case Report
頁籤選單縮合
題 名 | Necrotizing Fasciitis: 10 Year's Experience from Two Tertiary Hospitals in Northern Taiwan=壞死性筋膜炎:北臺灣二醫院之十年經驗 |
---|---|
作 者 | 朱芳業; 鄭舒倖; 彭銘業; 羅世慧; 張峰義; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:1 1998.03[民87.03] |
頁 次 | 頁35-40 |
分類號 | 414.83 |
關鍵詞 | 壞死性筋膜炎; Necrotizing fasciitis; Acute physiology and chronic health evaluation; APACHE Ⅱ; |
語 文 | 英文(English) |
中文摘要 | 我們回溯性地研究北臺灣兩家醫學中心於1986年7月及1996年6月間治療經由 手術確定診斷的壞死性筋膜炎的案例。本研究的目的是在描述關於壞死性筋膜炎的前置因 子、潛在疾病、臨床表徵、細菌學及預後,同時評估〝APACHE-Ⅱ〞是否可應用於預測該疾病 的預後。總共有38位男性及21位女性,牢齡在21歲至84歲之間,平均年齡為54歲,其中 有36位(61%)年齡超過50歲。外傷及皮膚病灶是最常引起壞死性筋膜炎的前置因子。糖尿病 (42%)及慢性肝病(17%)是最常見的潛在疾病。四肢是最常被侵犯的部位(66%),尤其是下肢 (56%);常見的臨床表徵有紅腫(73%)、局部壓痛(69%)、及發燒(69%)。從症狀開始到住院的平 均時間為9.8天;每人平均菌種為2.3種(0-10),其中,28人(51%)為多重菌種感染,12人(22%) 為厭氧及嗜氧菌混合感染。腸細菌科,嗜水性產氣單胞菌,金黃色葡萄球菌,類細菌屬及腸 球菌是最常被培養出的菌種。死亡率為34%,APACHE II總分高者有較高的死亡率(p<0.001)。 |
英文摘要 | Between July 1986 and June 1996, 59 cases with surgically confirmed necrotizing fasciitis (NF) treated at two medical centers located in northern Taiwan were retrospectively reviewed. The predisposing factors, associated conditions, clinical presentations, bacteriology and outcome of NF were analyzed. The value of the APACHE (Acute Physiology and Chronic Health Evaluation) II in the prediction of the outcome of NF was assessed. There were 38 men and 21 women. Their ages ranged from 21 to 84 years with a mean of 54 years. Thirty-six patients (61%) were over 50 years old. Prior trauma and preexisting skin lesions were the most common events leading to the development of NF. Diabetes mellitus (42%) and chronic liver disease (17%) were the most frequently associated diseases. The extremities (66%), especially the lower ones (56%), were the most common sites of involvement. The most frequent presenting signs included redness and swelling (73%), tenderness (69%), and fever (69%). The mean duration of symptoms prior to admission was 9.8 days (range, 1-60 days). The mean number of pathogens per patient was 2.3 (range, 0-10). Twenty-eight patients (51%) had polymicrobial infections, and 12 patients (22%) had mixed aerobic and anaerobic infections. Enterobacteriaceae, Aeromonas hydrophila, Staphylococcus aureus, Bacteroides spp., and enterococci were the leading causative organisms. The attributable case fatality rate was 34%. Higher APACHE II scores were closely correlated with higher fatality rates (p<0.001). |
本系統中英文摘要資訊取自各篇刊載內容。