Features of the course of Fournier’s gangrene in patients with diabetes mellitus

A. Imankulova, O. T. Kochorov, U. T. Naraliev
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Abstract

Fournier’s gangrene (FG) is a septic process accompanied by tissue necrosis of the scrotum, penis and perineum, as well as systemic inflammatory syndrome and endotoxicosis. FG is associated with long hospital stay and high mortality. In recent decades, there has been an increase in the incidence of this pathology, as evidenced by the indicators of the “database of the treated case” in Kyrgyzstan. This fact is associated with the growth of immunocompromised patients and, first of all, patients with diabetes mellitus. The result of treatment depends on the correct tactics, time and volume of emergency surgery. This article presents a 5-year experience of treating patients with FG against the background of diabetes mellitus in the department of purulent surgery of the National Hospital in Bishkek.
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糖尿病患者富尼耶坏疽病程特点分析
富尼耶坏疽(Fournier’s gangrene, FG)是一种脓毒症过程,伴有阴囊、阴茎和会阴组织坏死,以及全身性炎症综合征和内毒素中毒。FG与住院时间长和死亡率高有关。近几十年来,吉尔吉斯斯坦“治疗病例数据库”的指标证明,这种病理的发病率有所增加。这一事实与免疫功能低下患者的增长有关,首先是糖尿病患者。治疗的结果取决于正确的策略、时间和急诊手术的数量。本文介绍了在比什凯克国立医院化脓性外科治疗糖尿病背景下FG患者的5年经验。
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