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題 名 | Back Huge Carbuncle in Diabetics--A Case Report=糖尿病患背部巨大癰--病例報告 |
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作 者 | 黃俊源; 陳杰峰; 張瓊文; 王先震; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 25:4 2016.12[民105.12] |
頁 次 | 頁369-373 |
分類號 | 415.725 |
關鍵詞 | 癰; 軟組織感染; 手術; Carbuncle; Soft tissue infections; Surgery; |
語 文 | 英文(English) |
中文摘要 | 背 景:糖尿病患免疫功能較差易患皮膚或軟組織感染例如癰。但巨大癰在已開發國家並不常見。目的及目標:藉由我們所提出的糖尿病患背部巨大癰病例報告,討論其治療方法。材料及方法:一個73 歲的男性,他在背部有一40 30 公分的皮膚病灶一個月。診斷為巨大癰,兩個星期內清創三次,住院23 天。2 星期後病患再次住院接受背部傷口植皮手術。結 果:他的背部傷口癒合良好,但整個療程及住院時間過長。對於治療巨大癰,想保留最多的皮膚,但最後失敗了。結 論:對於有病灶復發風險的年老糖尿病患,第一次清創即作廣泛性病灶切除並早期傷口植皮手術應是巨大癰較佳的治療方式。可以減少換藥次數更可以減少住院天數。 |
英文摘要 | Background: Patients with diabetes mellitus have a specific immune condition and an increased susceptibility to the problem of carbuncle. However, huge carbuncle is not commonly seen in developed countries. Aim and Objectives: We described one case with a back huge carbuncle and discussed the treatment plan. Materials and Methods: A 73-year-old male suffered from multiple skin lesions involving area about 40x30 cm in size over his back for one month. Under the impression of back huge carbuncle, debridement was performed and antibiotic was given. Debridement was done again 5 days later due to progressive necrosis of the skin flap. The third time debridement was performed 12 days after admission. He was discharged on the 23rd day and was re-admitted 2 weeks later for delayed skin grafting. Results: His back wound healed well. However the duration of therapy as well as the time taken for wound closure and complete healing is long. Every effort was intended for preservation of the overlying skin flaps but failed. Conclusion: Extensive excision of the involved skin and early skin grafting to cover the wound so as to shorten the hospital stay and frequency of dressings may be the optimal treatment modality for the old aged patient with diabetes mellitus and risk of recurrence. |
本系統中英文摘要資訊取自各篇刊載內容。