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地震伤后危重患者合并气性坏疽的综合治疗

Treatment of critically ill patients with gas gangrene resulted in the 2008 Wenchuan earthquake

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【作者】 金晓东胡正昌王波廖雪莲王岚杨岭王存真蒲虹康焰

【Author】 JIN Xiao-dong,HU Zheng-chang,WANG Bo,LIAO Xue-lian,WANG Lan,YANG Ling,WANG Chun-zhen,PU Hong,KANG Yan.Intensive Care Unit,West China Hospital,Sichuan University.Chengdu,Sichuan,610041,China

【机构】 四川大学华西医院ICU

【摘要】 目的观察综合治疗地震伤后危重患者合并气性坏疽的临床疗效。方法4例气性坏疽重症患者收入隔离ICU后给予综合治疗。结果2例行清创及肢体局部切开减张术,未行截肢术。2例已行截肢术患者未行第2次截肢术,4例患者无1例死亡。结论综合治疗地震伤后危重患者合并气性坏疽,可最大限度地缩小组织坏死范围,保存肢体并降低截肢率,已行截肢者可避免再次截肢的可能。

【Abstract】 Objective To investigate the efficacy of interdisciplinary therapy in critically ill patients with gas gangrene in the 2008 Wenchuan earthquake.Methods Four critically wounded patients with gas gangrene caused by Wenchuan earthquake were treated by interdisciplinary cooperation.ResultsTwo patients received debridement and decompression were not amputated.Two amputated patients did not received futher amputation.Conclusions Interdisciplinary therapy of critically ill patients with gas gangrene in earthquake could limited the area of tissue necrosis,minimized the necessity of amputation and further amputation.

【关键词】 地震气性坏疽重症患者
【Key words】 EarthquakeGas gangreneCritically ill patients
  • 【文献出处】 中国呼吸与危重监护杂志 ,Chinese Journal of Respiratory and Critical Care Medicine , 编辑部邮箱 ,2008年04期
  • 【分类号】R459.7;R633.2
  • 【被引频次】4
  • 【下载频次】148
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