查詢結果分析
來源資料
相關文獻
- Fournier's Gangrene: Experience with 21 patients in NCKUH
- Fournier's Gangrene
- Simple Device for Treating Prolapsing Loop Colostomy
- Successful Management of Perforated Duodenal Diverticulitis with Intra-Abdominal Drainage and Feeding Jejunostomy: A Case Report and Literature Review
- 降低某外科病房空腸造廔灌食阻塞率之改善方案
頁籤選單縮合
題名 | Fournier's Gangrene: Experience with 21 patients in NCKUH=Fournier's壞疽症:成大醫院之21例經驗 |
---|---|
作者 | 潘正欽; 林永明; 唐一清; 林信男; 蔡宗欣; 張建成; 鄭鴻琳; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷期 | 8:1 1997.03[民86.03] |
頁次 | 頁38-42 |
分類號 | 415.85 |
關鍵詞 | Fournier's壞疽症; 男性外生殖器; 會陰處; 腸造廔; Fournier's gangrene; Genitalia; Perineum; Colostomy; |
語文 | 英文(English) |
中文摘要 | Fournier's 壞疽症是發生在男性外生殖器及會陰處,一種雖不常見但相當猛爆性 且廣氾破壞性的肌腱及皮下組織壞死疾病。 從 1989 年 9 月至 1996 年 10 月期間,共有 21 位病患因 Fournier's 壞疽症入院,其年齡在 32 至 80 之間(平均年齡:58.8 歲)。 76.2% 的病人為糖尿病患。 由症狀開始到求診日的期間,由 1 天到 30 天不等;組織壞死 的主要部位包括:肛門周圍( 61.9% ),陰囊( 14.3% );感染部位的細菌培養則顯示大 部份( 76.2% )為多菌種混和感染。有 18 位( 85.7% )的病人接受腸造廔手術:包括與 第一次擴創手術同時進行或延遲二日以後。結果顯示延遲接受腸造廔手術的病人,其死亡率 有相當明顯的提高( 87.5% );而全數 21 位病人的死亡率為 33.3%。 其中只有一位病患 接受恥骨上膀胱造廔。 病患接受擴創手術的次數由 1 至 8 次不等,平圴為 3.3 次;而平 均住院天數為 48.5 天。 結論:早期診斷且施予積極的擴創手術及術後傷口照顧,再加上複合的廣效性抗生素,對於 Fournier's 壞疽症的治療是相當重要的。 而在本院經驗中顯示,於第一次擴創手術時,即 同時施予腸造廔手術,可以明顯改善病患的預後。 |
英文摘要 | Fournier's gangrene is an uncommon but fulminant, extensive, and destructive necrotizing fasciitis which involves male urogenitoperineum. We conducted 21 male patients who were admitted with the impression of Fournier's gangrene which was diagnosed via the medical history and the physical examination from September 1989 to October 1996. Of the 21 patients, their ages ranged from 32 to 80 years (mean:58.8 years),and 76.2% of the patients were diabetes mellitus. The latent interval varied from 1 to 30 days, and the major localizations of involved area were perianal (61.9%) , scrotum (14.3%) . Bacteriologic cultures were mixed multiple pathogens in most patients (76.2%).Colostomy was done in 18 of 21 patients (85.7%). The overall mortality rate of the 21 patients was 33.3%. Only one patient received suprapubic cystostomy. Numbers of debridement in each patient varied from 1 to 8 times with a mean of 3.3, and the hospital stay ranged from 20 to 145 days with a mean of 48.5. We conclude that early diagnosis, aggressive debridements, and intensive medical care are critical for Fournier's gangrene. In our series, the prognosis is significantly improved if the colostomy was done simultaneously with the first debridement. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。