糖尿病继发阴囊坏疽的诊治

Diagnosis and treatment of the diabetes with secondary scrotal gangrene

目的 :探讨糖尿病继发阴囊坏疽的病因和诊治 ,提高该病的诊治水平。方法 :回顾分析 7例糖尿病继发阴囊坏疽并复习相关文献。结果 :5例经全身综合治疗和局部彻底的清创后治愈出院。 2例因病情延误 ,死于感染性休克、急性肾功能衰竭、多器官功能衰竭。结论 :熟悉该病的病因和演变 ,早期诊断 ,及时彻底的切除坏死组织 ,早期联合应用广谱抗生素 ,控制血糖 ,是抢救病人生命的关键。

Objective To explore the causes,the diagnosis and the treatment of scrotal gangrene secondarily complicated in diabetes. Methods Retrospective analysis of seven cases of the diabetes who secondarily occurred scrotal gangrene and were treated in our hospital and reviewed relative literature.Results Five of seven patients were recovered fully after undergoing multiple incisions and wide debridement and other measures, whereas the other two cases died of this disease for shock and renal disfunction or multi-organ failure. Conclusion The keys of survival primarily consist of well-recognized etiology and its evolution, early-stage diagnosis, wide debridement timely and administration of broad-spectrum antibiotics and control of blood sugar.