查詢結果分析
相關文獻
- Fournier's Gangrene
- 傳統中藥與現代西藥交互作用之研究1.茵蔯蒿對乙醯胺基酚肝毒性的影響
- Acute Retinal Necrosis-Early Manifestation and Successful Treatment with Steroid and Acyclovir: Case Report
- Management of Fournier's Gangrene--Experience with 57 Patients
- 鑽洞減壓術治術早期非創傷性股骨頭缺血性壞死
- 粗製巴斯德桿菌D型毒素誘發腫瘤壞死因子-α產生與豬萎縮性鼻炎關係之探討
- 急性挫傷性視網膜色素壞死--兩病例報告
- Vascularized Iliac Bone Graft for Treating Avascular Necrosis of the Femoral Head
- 壞死性筋膜炎
- 火針針刺對家兔肌肉組織之影響
頁籤選單縮合
題名 | Fournier's Gangrene=男性外生殖器會陰的壞死 |
---|---|
作者姓名(中文) | 金臺明; 梁長齡; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 26:6 民82.11-12 |
頁次 | 頁2090-2094 |
分類號 | 416.245 |
關鍵詞 | 男性外生殖器會陰; 壞死; Fournier's gangrene; Synergistic infection; |
語文 | 英文(English) |
中文摘要 | Fournier於1883年首先提出報告5個健康男性的陰囊發生猛爆性的壞死。這種病症的典型是陰囊猛烈的發炎並且擴展迅速,而且會波及會陰、陰莖、腹壁甚至大腿。壞死的發生可能是某些地方發炎的結果,也可能找不到原因,它會造成全身的菌血症並且有很高的死亡率。不論其原因為何,迅速的認知,迫切而積極的外科治療是不可缺的。 本文中的9個病例其致病原因及引起感染的菌種都能查出,其中5個是肛門、直腸的膿瘍,2個是泌尿道的感染,2個是肛門手術後的病人,6個病例是糖尿病患者。雖經積極的外科擴創術以及抗生素的治療,仍有3例死亡。這種病症是嗜氧及厭氧菌的混合感染,在尋找感染菌的細菌培養,細菌抹片及敏感試驗上都需盡力去做。治療上的睪丸切除很少需要,膀胱造瘻的需要性仍在爭議中。 |
英文摘要 | Fournier's gangrene is defined classically as a fulminant, rapidly spreading infection of the scrotum that also extends superiorly up the abdominal wall as far as the axillae and chest wall, inferiorly to the thighs and even ankles, or posteriorly to involve the perianal tissues or retroperitoneum. The disease may follow a variety of clinical conditions or occur without apparent precipitating causes. It is associated with severe systemic toxicity and has a significant mortality rate; it demands prompt recognition and urgent, aggressive surgical intervention. In experience here with nine cases, the portals of entry were well defined and the causative organisms were those typically found in the lower GI tract. Portals of entry were peri-rectal abscesses in five patients, urethral infections in two and surgical procedures in two patients. All patients required aggressive surgical debridement, broad-spectrum antibiotics and adjunctive measures. To obtain maximal information, cultures and sensitivity studies using both aerobic and anaerobic culture media must be done. The disease should be viewed as a variant of synergistic bacterial gangrene. Three patients died; two, with overwhelming sepsis, and one death was unrelated to gangrene. Two of three deaths were diabetics. Orchiectomy is rarely indicated. The use of suprapubic cystostomy and colostomy is still controversial. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。