老年肛痈术后合并坏死性筋膜炎治疗体会_ 李俊岩.docVIP

精品文档 值得下载 　　 本文档下载自 HYPERLINK / 文库下载网，内容可能不完整，您可以点击以下网址继续阅读或下载：  HYPERLINK /doc/da2b9909915f804d2a16c10e.html /doc/da2b9909915f804d2a16c10e.html 老年肛痈术后合并坏死性筋膜炎治疗体会_李俊岩 第14卷 第1期 2012 年 1 月 JOURNAL OF LIAONING UNIVERSITY OF TCM 辽宁中医药大学学报 Vol. 14 No. 1 Jan .，2012 老年肛痈术后合并坏死性筋膜炎治疗体会 李俊岩1，张秋实2 （1.辽宁中医药大学附属第三医院中医外科，辽宁 沈阳 110003；2.一五七医院肛肠科，辽宁 沈阳 110045）摘 要：目的：探讨老年肛痈术后合并坏死性筋膜炎的病因病理、临床特点和中西医结合治疗的优势。方法： 10例老年肛痈术后合并坏死性筋膜炎患者给予抗感染、原发内口挂线、口服中药汤剂、控制血糖、中药换药及对症支持等中西医结合治疗。结果：1例好转，9例患者痊愈出院，创面愈合时间为25~50天，平均35天。肛门局部无功能障碍。坏死性筋膜炎病变区瘢痕少，无功能障碍。结论：中西医结合可以有效治疗肛痈术后合并坏死性筋膜炎的老年患者；可以避免病变组织缺损，减少瘢痕形成，并保全患者病变组织器官的功能。 关键词：老年；肛痈；坏死性筋膜炎；治疗 (2012) 01- 中图分类号：R266 文献标识码：A 文章编号：1673-842X 0169- 02 Experience of Treating Postoperative of Anal Abscess Combined With Necrotizing Fasciitis in Old Patients LI Jun-yan1，ZHANG Qiu-shi2 （1. Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine，Shenyang 110003，Liaoning，China；2. No. 157 Hospital，Shenyang 110045，Liaoning，China） Objective：To study pathogen，pathology，symptoms and t/doc/da2b9909915f804d2a16c10e.htmlhe advantage of integrated Abstract： traditional Chinese and western medicine treating necrotizing fasciitis in perianal abscess surgery in elderly patients. Methods：10 elderly patients with fasciitis concurrency in perianal abscess surgery were given anti-infection treatment，hung inside the mouth，orally Chinese medicine，control blood glucose，Chinese dressing and symptomatic treatment. Results：1 case was improved and 9 cases were cured.The wound healing time was 25~50 days，average 35 days. There was no anal dysfunction. Less scar in necrotizing fasciitis lesions. Conclusion：Integrated traditional Chinese and western medicine treating for necrotizing fasciitis concurrency in perianal abscess surgery in elderly patients was effective. Diseased tissue defects could be avoided，scar formation was reduced and the function of diseased organs was preserved. elderly；perianal abscess；necrotizing fasciiti