“5.12”汶川大地震伤员气性坏疽的早期诊治

Early diagnosis and treatment for patients with clostridial myonecrosis in "5.12" Wenchuan megaseism

目的探讨地震伤致气性坏疽的诊断以及救治方案。方法对"5.12"汶川地震收治的气性坏疽患者的临床表现,诊断及救治情况进行横断面分析。结果18例气性坏疽患者中行伤口扩创、敞开引流5例,截肢术13例,再次扩创8例,伤口延期缝合15例,植皮2例,18例患者创面均得到封闭,16例患者创面完全愈合,发生急性肾功能衰竭1例,骨筋膜室综合征4例。结论早期诊断、隔离,及时正确处理创面,积极治疗并发症以及全身支持治疗能提高地震伤致气性坏疽患者的临床疗效,保留肢体,降低死亡率。

ObjectiveTo explore the diagnosis and the therapeutic regimen of megaseism-originated clostridial myonecrosis. MethodsClinical manifestation,diagnosis and the rescuing and treating condition of the hospitalized patients with clostridial myonecrosis in"5.12"Wenchuan megaseism were cross-sectionally analysed. Results5 of 18 patients underwent enlarged debridement with open drainage,13 amputation,8 re-enlarged debridement,15 delayed suture of wound and 2 dermatoplasty. The raw surface of 18 patients was comple...