目的:总结分析25例地震伤致气性坏疽伤员的救治经验,探讨救治方案,为临床工作提高参考。方法:回顾性研究25例地震伤致气性坏疽伤员的早期临床表现,诊断方法,隔离措施、临床管理及其预后。结果:共收治25例气性坏疽伤员,无一例死亡。院外诊断7例,院内诊断18例。截肢18例,开放性截肢12例,非开放性截肢6例;扩创7例。发生急性肾功能衰竭2例,行血液透析治疗后肾功能恢复;无院内交叉感染的发生。结论:早期诊断、治疗、早期隔离及全面、系统护理可以提高临床救治水平,改善患者的预后,避免院内交叉感染的发生。
Citation:
WANG Ruizhen,YUAN Xiurong,CHEN Zhonglan. Therapeutic and Management of 25 Cases Gas Gangrene in Earthquake Injury. West China Medical Journal, 2009, 24(1): 187-189. doi:
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