Earthquake injury accompanied with gas gangrene analysis of 18 cases.docVIP

 PAGE \* MERGEFORMAT 7 Earthquake injury accompanied with gas gangrene analysis of 18 cases Of: Yang Chun, Zhang Wei, Yangtze River, Li Ping [Abstract] hospital multidisciplinary treatment concurrent earthquake injured 18 cases of gas gangrene after amputation healing in 16 cases, partial limb debridement and decompression, limb salvage success in 2 cases. Shows that the method can be reduced as much as possible range of tissue necrosis, reduced mortality, amputation may have to avoid further amputations. [Keywords:] gas gangrene, earthquake damage, amputation Gas gangrene, now known as Clostridium muscle necrosis, is a rapid development of anaerobic infections with poor prognosis, the mortality rate of up to 7.1% to 20% [1]. I admitted to hospital in the earthquake, gas gangrene CPC 18 cases, the active and effective comprehensive treatment achieved satisfactory results, are as follows. Clinical data 1 General information The 18 cases, 9 cases were male, 9 females, aged 9 to 87 years, mean 48 years. The causes of injury are earthquake injuries. Damaged parts: a single limb amputation in 14 cases, bilateral limb amputation in 2 cases, right forearm injury in 1 patients without amputation, right index finger and scalp injury in 1. complicated 5 cases of traumatic shock, hemorrhagic shock in 13 cases, 11 cases of crush syndrome, injury to the treatment time from 7 to 150 hours. 2 Clinical manifestations of 18 cases had significant swelling of the injured area, Splitting like pain, tenderness obvious dark purple black skin, the wound was cooked like changes in muscle, gray or dark red soil, inelastic. Patients have varying degrees of fever , body temperature at 37.6 ~ 40.4 , the longest time in 2 weeks. locally crepitus, wound secretion smears were found in G + thick bacilli. 3 auxiliary examination on admission in 15 cases elevated white blood cell, hemoglobin lt;90g / L 15 patients with hypoproteinemia in 17 cases, 12 cases of elevated fa