目的:總結分析25例地震傷致氣性壞疽傷員的救治經驗,探討救治方案,為臨床工作提高參考。方法:回顧性研究25例地震傷致氣性壞疽傷員的早期臨床表現,診斷方法,隔離措施、臨床管理及其預后。結果:共收治25例氣性壞疽傷員,無一例死亡。院外診斷7例,院內診斷18例。截肢18例,開放性截肢12例,非開放性截肢6例;擴創7例。發生急性腎功能衰竭2例,行血液透析治療后腎功能恢復;無院內交叉感染的發生。結論:早期診斷、治療、早期隔離及全面、系統護理可以提高臨床救治水平,改善患者的預后,避免院內交叉感染的發生。
                                 
                                    
                                  
                       
                           Citation:
                           WANG Ruizhen,YUAN Xiurong,CHEN Zhonglan. Therapeutic and Management of 25 Cases Gas Gangrene in Earthquake Injury. West China Medical Journal, 2009, 24(1): 187-189. doi: 
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	                           Copyright ? the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
									 
							
                                          
                             
                            
                                
                            
                                 
                                 
                                 
                                                    			
				                                            
				                                                
				                                                    
				                                                        
				                                                            
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		                                    - 1.  陸以佳,劉咸璋,劉淼.外科護理學[M].北京:人民出版社2001.4..		                                    
		                                    
- 2.  Nancy F.Infectious myositis[J].Best Practice & Research Clinical Rheumatology,2006,20(6):10833-11097..		                                    
		                                    
- 3.  陳慶永,王春友.早期傷口分泌物涂片檢查對創傷性氣性壞疽早期診斷的作用[J].中華急診醫學雜志,2006,15(9):781-783..		                                    
		                                    
- 4.  周秀華.急救護理學[M].北京:人民衛生出版社,2001:3..		                                    
		                                    
- 5.  寧寧.骨科康復護理學[M].北京:人民軍醫出版社,2005,137-145..		                                    
		                                    
- 6.  Lang E,Liebig,K,Kastner.Multidisciplinary rehabilitation versus usual care for chronic low back pain in the community:Effects on Quality of Life [J].Spine J,2003,3(4):270-276..		                                    
		                                    
- 7.  MacNeil G,Stewart JC,Kaufman AV.Social support as potential moderator of adolescent delinquent behaviors[J].Child and Adolescent Social Work Journal,2000,17 (5):361-379..		                                    
		                                    
- 8.  李娟,徐燕,仇瑤琴.多學科康復團隊模式對我國骨科康復的啟示[J].解放軍護理雜志,2006,23(12):37.