富尼耶坏疽并发腹膜炎的治疗体会

V. A. Kislyakov, V. Malyuga, M. I. Bokarev, N. V. Tаruntaev, K. Kravchenko, M. Komarova, V. V. Gogichashvili, A. N. Zakharov, A. M. Leonovich, M. A. Chinazirov, A. Borisov, G. S. Vorobyov, A. Artemyev
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摘要

富尼耶坏疽是一种罕见而可怕的疾病,近十年来在我国外科医院越来越多地发生。我们认为,造成这种情况的原因是免疫功能低下患者人数的增加。一些伴随疾病是FG发展的易感因素:糖尿病、肥胖、肝硬化、恶性肿瘤、酒精中毒、药物成瘾、糖皮质激素、化疗后状况、营养缺乏。该病的死亡率很高,高达88.0%,在存活的患者中,约30.0%在出院后需要持续护理,超过50.0%的患者需要反复对生殖器和会阴进行重建和整形手术。每年在我们的诊所,多达5-6人因这种诊断而住院。在这篇文章中,我们提出了一个罕见的临床观察治疗FG患者,并发腹膜炎的良好结果。
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The experience of treatment Furnier’s gangren complicated by peritonitis
Fournier’s gangrene (FG) is a rare but rather formidable disease that has been occurring more and more often in surgical hospitals of the country in the last decade. Such situation, in our opinion, is explained by an increase in the number of immunocompromised patients. A number of concomitant diseases is a predisposing factor for the development of FG: diabetes mellitus, obesity, cirrhosis, malignant tumors, alcoholism, drug addiction, glucocorticoids, condition after chemotherapy, nutritional deficiency. The course of the disease is accompanied by a high mortality rate – up to 88.0 %, and among the surviving patients, about 30.0 % need constant care after discharge from the hospital and more than 50.0 % – in repeated reconstructive and plastic surgeries on the genitals and perineum. Annually in our clinic, up to 5–6 people are hospitalized with this diagnosis. In this article, we present a rare clinical observation of the treatment a patient with FG, complicated by the development of peritonitis with a favorable outcome.
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