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首页> 美国卫生研究院文献>Case Reports in Anesthesiology >Treatment of Fourniers Gangrene with Combination of Vacuum-Assisted Closure Therapy Hyperbaric Oxygen Therapy and Protective Colostomy
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Treatment of Fourniers Gangrene with Combination of Vacuum-Assisted Closure Therapy Hyperbaric Oxygen Therapy and Protective Colostomy

机译：真空辅助闭合疗法高压氧疗法和保护性结肠造口术相结合的治疗傅里叶氏坏疽

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摘要

Fournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to the Intensive Care Unit of Emergency Department. In both cases, infection started from the scrotum and the necrosis quickly involved genitals, perineal, and inguinal regions. Patients were treated with surgical debridement, protective colostomy, hyperbaric oxygen therapy, and broad-spectrum antibacterial chemotherapy. Vacuum-assisted closure (VAC) therapy was applied to the wound with the aim to clean, decontaminate, and avoid abdominal compartmental syndrome development. Both patients survived and were discharged from Intensive Care Unit after hyperbaric oxygen therapy cycles and abdominal closure.
机译：Fournier的坏疽是一种罕见的过程，会影响生殖器和直肠周围区域的软组织。它也可以发展为败血症的所有不同阶段，而腹腔室综合征可能是其并发症之一。两名因Fournier坏疽导致感染性休克的患者被送往急诊科的重症监护室。在这两种情况下，感染都是从阴囊开始的，坏死很快涉及到生殖器，会阴和腹股沟区域。患者接受了外科清创术，保护性结肠造口术，高压氧治疗和广谱抗菌化疗。真空辅助闭合（VAC）治疗应用于伤口，旨在清洁，净化和避免腹腔室综合征的发展。高压氧治疗周期和腹部闭合后，两名患者均存活并从重症监护室出院。

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