AdelayedmortalreasonindiagnosisforpatientsinvestigatedforfeveretiologyFournier’sgangrene.docx

《AdelayedmortalreasonindiagnosisforpatientsinvestigatedforfeveretiologyFournier’sgangrene.docx》由会员分享，可在线阅读，更多相关《AdelayedmortalreasonindiagnosisforpatientsinvestigatedforfeveretiologyFournier’sgangrene.docx（3页珍藏版）》请在第一文库网上搜索。

1、Atef1Etyo1ojisiNedeniIanHasta1ardaTansGecikmif1Morta1BirNeden:FournierGangreniAzizSumer;EnderOnur;EdizA1tn1,Ati11aCe1ikSerkanSengei;Nef1etKoksa1Haydarpaf1aNumuneKStimveAraf1ormaHastanesi2Gene1CerrahiK1inEX1anhasta1ardatan9gecikmif1morta1birneden:FournierGangreniGirif1:EouinierGangrenibz1Ue1eyenhayav

2、IehditeVeradika1CenahiUygU1ama1ardadahimor1a1itesiyukseko1anrmaHaStanesi2Gene1CerrahiKIinIInde2003-2004y11aarandaaUf1etiyo1qsine-donii1earaf1on1andrtFournierGangrenio1gusubaf1vuruAikayet1aietiyo1ojikveriskIaktor1eik1imizebaf1vu,masUre1eri,fizikmuayeneveIaboratuarbu1gu1a,yaj1andebridmansay1a,ostomigc

3、ek1Qveuygu1anantedaviProtOkO1Uapsndanretrospektifo1arakince1enmif1tirBu1gu1ar:O1gu1nikisierkekikisiIaMbnO1makUzereyaf1Or1aIaina。72idiO1guhmnWmUneSjgmoid1oopkoiostomi+genif1debridman+Ufi11antiyoterapiuygu1an.1d.Sonu;FouinierGangrenitarVeIedavisindegekncK3Zamanmorta1iteoran1ayiiksekbirhastabktrTiimhas

4、ta1adao1dugibize1-Iik1eatof1Ctiyo1ojisii1ebaf1vuranhasta1ardafizikmuayenenintaino1arakyap1mas,tartanbkenkonmasvebunaPara1dOiIarakmo1ta1itenind1if1Uko1masnSdzf1ayancnnem1ietmendicAnahtarke1ime1er:Fournia,Gangreni,ateftcerrahitedaviAABSTRACTde1ayedmorta1reasonindiagnosisforpatientsinvestigatedforfever

5、etio1ogy:FournisgangreneIntroduction:FoumiefsGangreneisa1ifethreateningrapid1yprogressivesurgica1emergencywithahighmorta1ityrateevenwitheariydiagnosisandradica1surgery.Aim:Togetaretrospectiveana1ysisofthepatientswhohadwidedebridementandmedica1treatmentforFoumiefsGangreneinourc1inicMateria1andMethods

6、:Fourpatientswereeva1uatedretrospective1ywhohadwidedebridementandmedica1treatmentfarFourniefsGangreneinHaydarPafIaNumuneHospita12ndGenera1SurgeryQinicbetween2003and2004.Resu1ts:Fema1etoma1eratiowas2/2withameanageof72Vginoid1oop1ostomy+widedebridement+antibiotherapywasperformedtoa11casesMorta1ityra1e

7、was50%,Remainingtwocaseshadc1osureofco1ostomiesafter10weeksofIreatmen1Conc1usion:Morta1ityrateincreaseswhenthereisade1ayfordiagnosisandtreatmentinFoumid1SGangrene.Asseenina11rkyDPDergisi2005：1:57-59GRindaJeanA1fredFourniertara-6ndantanm1anmf1tr(O.m1andOdonem1erdegenerif1kinerkek1erdeortayakarskrotum

8、vepenisinhz1yay1angangrenio1araktanm1anmasnartehditeden,perineveekstra-genita1b1gedeo1uf1anfasya1p1an1ararandahzbyay1an,Yazf1maanhHaydaipaf1aNumuneOtimveAraf1VnnaHastancsi12Gene1CertahiK1iriOveagresifcerrahitedaviuygu1anma-dOzamanmorta1itesio1dukayUksekSeyretmektedirBuyazdaamafk1inESmizdeFourniergan

9、greninedenii1egenif1debridmanvemedika1tedaviuygu1anan4o1gununretrospektifana1iziveIiteratUref113ndeirde1enmesidirGEREveYONTEMHaydarpaf1aNumuneIQitimveAraf1VrmaHastanesi2Gene1CerrahiK1irOndc2003-2004y11ararandaFourniergangreninedenietedaviedi1endrthastanndosyaveri1eriyaf1,dnsiyet,Aikayet1eiietyo1ojik

10、veriskfaktr1erik1irmizebaf1vuimaSure1erifizikmuayeneveIaboratuarbu1gu1a,yap1andebridmansay1an,ostomigerek1iIESwuygu1anantedaviprotoko1iiapndanretrospektifo1arakince1enmif1ti:Hasta1arnOze11ik1eriTab1oIdezet1enmif1tirA1ef1etyo1qsinedenii1earaf1tr1anhas1a1adaIar9gecikmif1aorta1birneden:Fourniergangt,en

11、iTab1o1:O1gu1annze11ik1ertTuino1gu1arasigmoid1oopko1ostomivegenif1debridmanuygu1anmf1trnCYaf1Ef11ikedenhastabk1arSemptomBu1gu1arTansUresi1K73DM,HTAtef1vemakatta?QVu1vadaeritem,demveaknt4gUn2E70DMtef1vekanO9SeOskrotumda2x1cmnekrozveinguina1b1geyeyay1aneritem,dcmveCiIta1okrepitasyon4g(1n3K73DMAtef1Per

12、inedense1abiummajusauzananyeryernekrotiKenf1anea1anveci1ta1tkrepitasyon1ar4gUn4E72HTAtef1vemakatta工XPerinedenbaf11ayanso1g1utea1b1geyeuzanmgsteren10X10cmboyut1arndaU1serea1an3gUnBu1gu1arIimikrobiya1o1araktespitedi1di(ECo1iveBakteroidesfra-gi1is.O1gu1araorta1ama7kezgene1anesteziveyasedas-yona1tndagenif1debridmanuygu1and.DebridmanSra-Dorto1gununikisierkek(%50),d0ikisi(%50)kadnSndaci1ta1Odokuda