一例通过保守治疗和选择性清创成功治疗 Fournier 坏疽的病例

Q4 Medicine IJU Case Reports Pub Date : 2024-02-20 DOI:10.1002/iju5.12706

Toshifumi Takahashi, Kouhei Maruno, Tatsuya Hazama, Yuya Yamada, Masakazu Nakashima, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito

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摘要

福尼尔坏疽指的是一种主要影响会阴部的坏死性筋膜炎，需要立即清创。本病例的患者是一名 85 岁的老人，住在一家疗养院，表现为 4 级。患者是一名入住疗养院的 85 岁老人，表现为 4 级，因发烧由救护车转院。血液检查显示炎症反应明显升高，计算机断层扫描显示右侧睾丸周围至下腹部有广泛的气肿。患者被诊断为福尼尔坏疽。然而，他的家人拒绝了紧急手术清创。使用抗生素后，患者的一般状况有所改善，最终进行了清创手术。本研究描述了通过保守治疗和选择性清创术成功治疗 Fournier 坏疽的病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A case of successful treatment of Fournier's gangrene through conservative management and elective debridement

Introduction

Fournier's gangrene refers to a necrotizing fasciitis that mainly affects the perineal region and a condition that requires immediate debridement. This case involved elective debridement of Fournier's gangrene after the general condition was improved through antibiotic treatment instead of requesting an emergency debridement.

Case presentation

The patient was an 85-year-old man with a performance status of 4 admitted to a nursing home. He was transferred by ambulance with a fever. Blood tests showed a markedly elevated inflammatory response, and computed tomography revealed widespread aerodermectasia around the right testis to the lower abdomen. The patient was diagnosed with Fournier's gangrene. However, his family declined emergency surgical debridement. The patient's general condition was improved with antibiotics, and debridement was eventually performed. After 52 days of hospitalization, the patient was transferred to another hospital.