Fournier坏疽3例及治疗转归

Fournier's gangrene and its outcome:report of 3 cases

分析3例不同病期Fournier坏疽患者的诊断和治疗,以及不同治疗方法产生的不同转归。例1.男,42岁,出现阴囊丘疹2周,阴囊皮肤坏死、脱落1周。脓液培养见铜绿假单胞菌生长,治疗后痊愈,局部遗留瘢痕;例2.男,79岁,阴囊红肿伴发热2d,经治疗痊愈;例3.男,70岁,阴茎出现丘疹1周,出现溃疡1d,未接受治疗,后死亡。3例患者的不同转归说明Fournier坏疽进展迅速,早期治疗非常重要。

Three cases of Foumier＇s gangrene in different stages and different outcome due to different therapies are reported. Patient 1 was a 42-year-old man who presented with papules on the scrotum for 2 weeks. The papules enlarged and necrotized for one week. Pus culture recovered Pseudomonas aeruginosa. The patient was cured with slight scar left. Patient 2 was a 79-year-old man with fever, redness and edema of the scrotum for 2 days. He was cured with antibiotics. Patient 3 was a 70-year-old man who presented with papules on the penis for 1 week, and the skin of the penis ulcerated for 1 day. He died after giving up treatment. Foumier＇s gangrene progresses rapidly and should be treated as early as possible.