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Fournier Gangrenı: 10 Olguluk Deneyimimiz
2000
Journal:  
Southern Clinics of Istanbul Eurasia
Author:  
Abstract:

Foumier Gangreni {FG), genital ve perineal dokuların, nispeten nadir, mikst aerobik ve anaerobik enfeksiyonudur. Kliniğimizde 1994-2000 tarihleri arasında, FG tanısı konulan 10 hasta retrospektif olarak değerlendirildi. Ortalama yaşı 59.7(34-83) yıl olan olgularımızın hepsi erkekti. Hastalığın en sık rastlandığı yer perineo-skrotal alan (7 hasta, %70), en sık yandaş hastalık ise Diabetcs Mellitus (7 hasta, %70)idi. Nckrotik dokuların cerrahi debridman], geniş spektrumlu antibiyotik tedavisi ve mitrisyoncl destek bütün hastalara uygulanırken, yara defcklini onarmak için ikinci seansta rekonstrüktif cerrahi girişim iki hastaya ve hiperbarik oksijen tedavisi (HBO) bir hastaya ilave edilmiştir. Mortalitıe oranı %10 (I hasta) bulunmuştur. Erken teşhis'e, geniş spektrumlu uygun antibiyotiklere, cerrahi debritman uygulamaları, nütrisyonel destek ve HBO tedavisine rağmen, FG hala yüksek morbidite ve mortalite oranlarına sahiptir.

Keywords:

Fournier Gangren: Our 10 Facts Experience
2000
Author:  
Abstract:

Foumier Gangrene is a relatively rare, mixed aerobic and anaerobic infection of genital and perineal tissues. In our clinic between 1994-2000, 10 patients diagnosed with FG were considered retrospective. Our average age is 59.7 (34-83) years and all of our facts are male. The most common place of the disease was the perineo-skrotal area (7 patients, 70%), the most common associated disease was Diabetcs Mellitus (7 patients, 70%). The Nckrotic tissue surgical debridman is applied to all patients with a wide spectrum of antibiotic therapy and mitriationcl support, while the second session of reconstructive surgical initiative to repair the wound defcklini is added to two patients and the hyperbaric oxygen therapy (HBO) to one patient. The mortality rate was 10 percent (I patient). Despite early diagnosis, wide spectrum of suitable antibiotics, surgical debritman applications, nutritional support and HBO treatment, FG still has high morbidity and mortality rates.

Keywords:

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Southern Clinics of Istanbul Eurasia

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Southern Clinics of Istanbul Eurasia